腔镜辅助小切口与全腔镜治疗甲状腺癌的临床研究分析  

Clinical research and analysis of endoscopic assisted small incision and full endoscopic treatment of thyroid cancer

作　　者：程华勇 CHENG Huayong(Department of General Surgery,Fuzhou First Hospital of Fujian Medical University,Fuzhou 350000,China)

机构地区：[1]福建医科大学附属福州市第一医院普外科,福建福州350000

出　　处：《中国现代医生》2020年第34期68-71,共4页China Modern Doctor

摘　　要：目的探讨腔镜辅助小切口与全腔镜治疗甲状腺癌的临床研究。方法选取2018年4月~2020年5月本院收治的90例甲状腺癌患者为研究对象,按照奇偶数抽签方法分为对照组及观察组,每组各45例,对照组患者实施全腔镜手术治疗,观察组患者实施腔镜辅助小切口术治疗,比较两组各项手术指标恢复情况(手术用时、拔管时间、术后引流时间、术中出血量及住院时间)、疼痛评分、美容满意度评分及术后出现的并发症率(皮下淤血、皮下气肿、低钙抽搐及吞咽不适等)。结果与对照组比较,观察组手术用时、住院用时、拔管时间及术后引流时间更短,术中出血量更多(P<0.05);两组患者术后疼痛改善及美容满意度提升效果显著,且术后观察组疼痛评分下降幅度更为显著,对照组美容满意度评分提升幅度更为显著(P<0.05);两组患者术后并发症率差异显著,观察组为11.11%,对照组为33.33%(P<0.05)。结论针对甲状腺癌患者,腔镜辅助小切口与全腔镜治疗均可起到治疗效果,但前者手术用时、术后引流时间、拔管时间及住院用时更短,且术后发生并发症的几率更低,切口小因此疼痛小,但全腔镜手术能更好地满足患者的美容需求,患者可根据实际情况选择术式。Objective To investigate the clinical study of endoscopic assisted small incision and full endoscopic treatment of thyroid cancer.Methods Ninety patients with thyroid cancer admitted to our hospital from April 2018 to May 2020 were selected as the research objects.The patients were divided into two groups according to the odd and even number lottery.The odd and even-numbered patients were included in the control group and the observation group,with 45 cases in each group.The control group underwent full endoscopic surgery,and the observation group underwent endoscopic-assisted small incision surgery.The recovery of various surgical indicators(operation time,extubation time,postoperative drainage time,intraoperative blood loss and hospitalization time),pain score,cosmetic satisfaction score,and postoperative complication rate(subcutaneous congestion,subcutaneous emphysema,hypocalcemia convulsions,swallowing discomfort,etc.)between two groups were compared.Results Compared with that of the control group,the operation time,hospitalization time,extubation time,and postoperative drainage time of the observation group were shorter,and the intraoperative blood loss of the observation group was more(P<0.05).The postoperative pain and cosmetic satisfaction of the two groups were significantly improved.The pain score of the observation group decreased more significantly after the operation.The cosmetic satisfaction score of the control group has increased significantly(P<0.05).The total nadence of postoperative complication rate was 11.11%in the observation group and 33.33%in the control group(P<0.05).Conclusion For patients with thyroid cancer,both endoscopic-assisted small incision and full endoscopic treatment can have therapeutic effects,but the former requires shorter operation time,postoperative drainage time,extubation time,and hospitalization time.Moreover,it has a lower incidence of postoperative complications,small incision,and less pain.However,full laparoscopic surgery can better meet the patient's cosmetic nee

关 键 词：腔镜辅助小切口 全腔镜术 甲状腺癌 疼痛评分 美容满意度 

分 类 号：R736.1[医药卫生—肿瘤]