改良胸前壁入路腔镜手术治疗良性甲状腺瘤的效果观察  

Effect of modified anterior chest wall approach laparoscopic surgery on benign thyroid tumors

作　　者：朱锋锋 Zhu Fengfeng(Third Ward of Department of General Surgery,Jincheng General Hospital,Jincheng 048000,China)

机构地区：[1]山西省晋城大医院普外三病区,048000

出　　处：《中国实用医刊》2021年第13期20-22,共3页Chinese Journal of Practical Medicine

摘　　要：目的:分析改良胸前壁入路腔镜手术与常规颈部入路手术治疗良性甲状腺瘤的效果。方法:抽取晋城大医院2018年3月至2020年3月收治的80例良性甲状腺瘤患者,按照随机数字表法分为改良组和常规组,每组40例。改良组采用改良胸前壁入路腔镜手术治疗,常规组采用常规颈部入路手术治疗。观察并比较两组患者的临床治疗效果、并发症发生率及术后复发率。结果:改良组手术时间、术中出血量和住院时间少于常规组(P<0.05);改良组术后并发症发生率为2.50%(1/40),低于常规组的20.00%(8/40),差异有统计学意义(P<0.05)。改良组术后复发率为0.00%(0/40),低于常规组的12.50%(5/40),差异有统计学意义(P<0.05)。结论:采用改良胸前壁入路腔镜手术治疗良性甲状腺瘤的临床指标较常规颈部入路手术更好,且并发症少,术后复发率低。Objective To analyze the clinical effects of modified anterior chest wall approach laparoscopic surgery and conventional neck approach surgery on patients with benign thyroid tumors.Methods A total of 80 patients with benign thyroid tumors admitted to Jincheng General Hospital from March 2018 to March 2020 were selected,and they were divided into modified group and conventional group by random number table method,with 40 cases in each group.The modified group was treated by modified anterior chest wall approach laparoscopic surgery,and the conventional group was treated by conventional neck approach surgery.The clinical treatment effects,incidence of complications,and recurrence rate of the two groups were observed and compared.Results Compared with the conventional group,the operation time,intraoperative blood loss and hospital stay of the modified group were significant lower(P<0.05).The incidence of postoperative complications of the modified group was 2.50%(1/40),significantly lower than the 20.00%(8/40)of the conventional group(P<0.05).The postoperative recurrence rate of the modified group was 0.00%(0/40),significantly lower than the 12.50%(5/40)of the conventional group(P<0.05).Conclusions Modified anterior chest wall approach endoscopic surgery for benign thyroid tumors has a better clinical effect,less complication and lower recurrence rate.

关 键 词：良性甲状腺瘤 改良胸前壁入路腔镜手术 临床治疗 

分 类 号：R736.1[医药卫生—肿瘤]