改良Miccoli术式内镜甲状腺手术治疗早期分化型甲状腺癌的临床效果观察  

Modified Miccoli operation endoscopic thyroidectomy in the treatment of early differentiated thyroid cancer:a clinical effect observation

作　　者：黄志强 黄淑君 覃森 HUANG Zhiqiang;HUANG Shujun;QIN Sen(Department of Breast and Thyroid Surgery,Guidong People′s Hospital of Guangxi Zhuang Autonomous Region,Wuzhou 543000,Guangxi,China)

机构地区：[1]广西壮族自治区桂东人民医院乳腺甲状腺外科,广西梧州市543000

出　　处：《微创医学》2020年第6期726-728,共3页Journal of Minimally Invasive Medicine

摘　　要：目的探讨改良Miccoli术式内镜甲状腺手术治疗早期分化型甲状腺癌的临床效果。方法选取早期分化型甲状腺癌患者82例,按随机数表法分为对照组和观察组,各41例。对照组采用传统甲状腺手术治疗,观察组采用改良Miccoli术式内镜甲状腺手术治疗。观察并比较两组患者手术相关指标、术后并发症发生率、手术前后生活质量(QOL)评分。结果两组患者术中淋巴结清扫数比较差异无统计学意义(P>0.05),观察组手术时间、术中出血量、术后引流量、切口长度、住院时间均显著短/少于对照组,且总并发症发生率显著低于对照组(均P<0.05)。术后两组QOL评分均较术前升高,且观察组显著高于对照组(均P<0.05)。结论改良Miccoli术式内镜甲状腺手术治疗早期分化型甲状腺癌,临床效果显著,安全性高,可改善患者生活质量。ObjectiveTo investigate the clinical effect of modified Miccoli operation endoscopic thyroidectomy in the treatment of early differentiated thyroid cancer.MethodsA total of 82 patients with early differentiated thyroid cancer were selected and were divided into control group and observation group by the random number table method,with 41 cases in each group.The control group was treated with traditional thyroid surgery,and the observation group was treated with modified Miccoli operation endoscopic thyroid surgery.The operation related indexes,incidence of postoperative complications and quality of life(QOL)scores before and after operation were observed and compared between the two groups.ResultsThere was no statistically significant difference in the number of lymph node dissection between the two groups(P>0.05).The operation time,intraoperative blood loss,postoperative drainage,incision length and hospital stays of the observation group were significantly shorter/less than those of the control group,and the total incidence of complications of the observation group was significantly lower than that of the control group(all P<0.05).The QOL scores increased in both groups after operation,and the scores were significantly higher in the observation group than in the control group(all P<0.05).ConclusionModified Miccoli operation endoscopic thyroidectomy for early differentiated thyroid cancer has a significant clinical effect and a high safety,which can improve the quality of life in patients.

关 键 词：改良Miccoli术式 传统甲状腺手术 分化型甲状腺癌 

分 类 号：R653[医药卫生—外科学]