双侧乳晕入路腔镜甲状腺手术治疗良性甲状腺疾病的临床效果及安全性研究  

Clinical effect and safety study of bilateral areola approach laparoscopic thyroid surgery for benign thyroid diseases

作　　者：张开华[1] 郑芙蓉 ZHANG Kaihua;ZHENG Furong(Ward 3 of Department of General Surgery,Jiujiang NO.1 People's Hospital in Jiangxi Province,Jiujiang 332000,China;Operating Room,Jiujiang University Affiliated Hospital,Jiujiang 332000,China)

机构地区：[1]江西省九江市第一人民医院普外三科,江西九江332000 [2]九江学院附属医院手术室,江西九江332000

出　　处：《中国现代医生》2021年第33期70-73,共4页China Modern Doctor

摘　　要：目的研究良性甲状腺疾病治疗中双侧乳晕入路腔镜甲状腺手术的临床效果及安全性。方法回顾性选取2017年1月至2020年1月本院良性甲状腺疾病患者100例,依据手术方法分为双侧乳晕入路腔镜甲状腺手术组(腔镜甲状腺手术组,n=50)、传统甲状腺手术组(n=50)两组,统计分析两组患者的手术指标、外观满意度、血清炎症因子水平、术后并发症发生情况。结果腔镜甲状腺手术组患者的手术时间显著长于传统甲状腺手术组(P<0.05),住院时间显著短于传统甲状腺手术组(P<0.05),术中出血量显著少于传统甲状腺手术组(P<0.05),术后引流量显著多于传统甲状腺手术组(P<0.05),外观满意度评分显著高于传统甲状腺手术组(P<0.05)。腔镜甲状腺手术组患者手术后较手术前的血清降钙素原、C-反应蛋白水平降低幅度均显著高于传统甲状腺手术组(P<0.05)。在术后并发症总发生率方面,腔镜甲状腺手术组为4.0%(2/50),低于传统甲状腺手术组的12.0%(6/50),差异有统计学意义(P<0.05)。结论良性甲状腺疾病治疗中双侧乳晕入路腔镜甲状腺手术的临床效果及安全性较传统甲状腺手术好。Objective To study the clinical effect and safety of bilateral areola approach endoscopic thyroid surgery in the treatment of benign thyroid diseases.Methods A total of 100 patients with benign thyroid disease in our hospital from January 2017 to January 2020 were retrospectively selected.They were divided into bilateral areola approach endoscopic thyroid surgery group(n=50)and traditional thyroid surgery group(n=50).The surgical indicators,appearance satisfaction,serum inflammatory factor levels,and postoperative complications between the two groups were statistically analyzed.Results The operation time of the patients in the endoscopic thyroid surgery group was significantly longer than that of the traditional thyroid surgery group(P<0.05).The hospital stay of the endoscopic thyroid surgery group was significantly shorter than that of the traditional thyroid surgery group(P<0.05).The intraoperative blood loss of the endoscopic thyroid surgery group was significantly less than that of the traditional thyroid surgery group(P<0.05),and the postoperative drainage volume was significantly higher than that of the traditional thyroid surgery group(P<0.05).The appearance satisfaction score of the endoscopic thyroid surgery group was significantly higher than that of the traditional thyroid surgery group(P<0.05).The reduction of serum procalcitonin and C-reactive protein levels in the laparoscopic thyroid surgery group after the surgery was significantly higher than that in the traditional thyroid surgery group(P<0.05).The incidence of postoperative complications was 4.0%(2/50)in the endoscopic thyroid surgery group,which was significantly lower than 12.0%(6/50)in the traditional thyroid surgery group,the difference was statistically significant(P<0.05).Conclusion The clinical effect and safety of bilateral areola approach laparoscopic thyroid surgery are better than traditional thyroid surgery in treating benign thyroid diseases.

关 键 词：良性甲状腺疾病 双侧乳晕入路腔镜甲状腺手术 手术指标 外观满意度 炎症因子 术后并发症 

分 类 号：R653[医药卫生—外科学]