腔镜辅助颈部小切口甲状腺部分切除术治疗甲状腺良性结节患者的效果  

Effects of endoscopic-assisted partial thyroidectomy with small neck incision in treatment of patients with benign thyroid nodules

作　　者：詹学斌[1] ZHAN Xuebin(General Surgery of the 7th People’s Hospital of Zhengzhou,Zhengzhou 450016 Henan,China)

机构地区：[1]郑州市第七人民医院普外科,河南郑州450016

出　　处：《中国民康医学》2021年第21期24-26,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察腔镜辅助颈部小切口甲状腺部分切除术治疗甲状腺良性结节患者的效果。方法:选取96例甲状腺良性结节患者为研究对象,按照随机数字表法分为观察组与对照组各48例。两组均接受单侧甲状腺部分切除术治疗,对照组采用开放术式治疗,观察组采用腔镜辅助颈部小切口术式治疗,比较两组手术时间、住院时间、术中失血量、术后引流量、甲状腺功能指标[血清甲状旁腺激素(PTH)、游离三碘甲状腺原氨酸(FT_(3))、游离甲状腺素(FT_(4))]水平和并发症发生率。结果:观察组手术时间和住院时间均短于对照组,术中失血量和术后引流量均少于对照组,差异有统计学意义(P<0.05);术后3 d,观察组TSH水平低于对照组,FT_(3)和FT_(4)水平均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为10.42%,明显低于对照组的29.17%,差异有统计学意义(P<0.05)。结论:腔镜辅助颈部小切口甲状腺部分切除术治疗甲状腺良性结节患者可缩短手术时间和住院时间,减少术中失血量、术后引流量,降低并发症发生率,以及改善术后甲状腺功能指标水平,效果优于传统开放术式。Objective:To observe effects of endoscopic-assisted partial thyroidectomy with small neck incision in treatment of patients with benign thyroid nodules.Methods:96 patients with benign thyroid nodules were selected as the research objects,and were divided into observation group and control group according to the random number table method,48 cases in each group.Both groups received unilateral partial thyroidectomy.During the surgery,the control group was treated with open surgery,while the observation group was treated with endoscopicassisted surgery with small neck incision.The operation time,the hospitalization time,the intraoperative blood loss,the postoperative drainage,and thyroid function indicator levels[serum parathyroid hormone(PTH),free triiodothyronine(FT_(3)),free thyroxine(FT_(4))]and the incidence of complications were compared between the two groups.Results:The operation time and the hospitalization time of the observation group were shorter than those of the control group;the intraoperative blood loss and the postoperative drainage volume were lower than those of the control group;and the differences were statistically significant(P<0.05).Three days after the surgery,the TSH level of the observation group was lower than that of the control group;the levels of FT_(3) and FT_(4) were higher than that of the control group;and the differences were statistically significant(P<0.05).Further,the complication rate in the observation group was 10.42%,which was significantly lower than the 29.17%in the control group,and the difference was statistically significant(P<0.05).Conclusions:Endoscopic-assisted small neck incision partial thyroidectomy in the treatment of the patients with benign thyroid nodules can shorten the operation time and the hospitalization time,reduce the intraoperative blood loss,postoperative drainage and the incidence of complications,and improve the postoperative thyroid function indicator levels.Moreover,it is superior to traditional open surgery.

关 键 词：甲状腺良性结节 腔镜 甲状腺部分切除术 甲状腺功能 并发症 

分 类 号：R653[医药卫生—外科学]