经口腔前庭入路腔镜甲状腺切除术治疗甲状腺疾病的临床效果  

Clinical Effect of Transoral Endoscopic Thyroidectomy Vestibular Approach in the Treatment of Thyroid Diseases

作　　者：万焱华[1] 刘贤伟[1] 刘奇盛 WAN Yanhua;LIU Xianwei;LIU Qisheng(Jiujiang First People’s Hospital,Jiangxi Province,Jiujiang 332000,China;不详)

机构地区：[1]江西省九江市第一人民医院,江西九江332000

出　　处：《中国医学创新》2022年第10期28-31,共4页Medical Innovation of China

基　　金：江西省卫生健康委科技计划项目(202140290)。

摘　　要：目的:探讨经口腔前庭入路腔镜甲状腺切除术(TOETVA)治疗甲状腺疾病的临床效果。方法:选取九江市第一人民医院2018年8月-2020年5月行TOETVA治疗的36例甲状腺疾病患者设为治疗组,将2016年3月-2018年7月行内镜甲状腺切除术(ETE)治疗的52例甲状腺疾病患者设为对照组。统计分析两组患者的手术相关指标、甲状腺相关激素水平、术后并发症发生情况。结果:两组术中出血量、术后引流量比较,差异均无统计学意义(P>0.05);治疗组手术时间长于对照组,术后引流时间、住院时间均短于对照组(P<0.05)。术后治疗组游离三碘甲状腺原氨酸(FT_(3))、游离甲状腺素(FT_(4))水平均高于对照组,促甲状腺激素(TSH)水平低于对照组(P<0.05)。治疗组术后并发症发生率低于对照组(P<0.05)。结论:甲状腺疾病治疗中经口腔前庭入路腔镜甲状腺切除术的效果较ETE术式好,值得在临床推广。Objective:To explore the clinical effect of endoscopic thyroidectomy through oral vestibular approach(TOETVA)in the treatment of thyroid diseases.Method:Thirty-six patients with thyroid diseases who underwent TOETVA in Jiujiang First People’s Hospital from August 2018 to May 2020 were selected as the treatment group,52 patients with thyroid diseases who underwent endoscopic thyroidectomy(ETE)from March 2016 to July 2018 were set as the control group.The operative indicators,thyroid hormone levels and postoperative complications of patients in the two groups were statistically analyzed.Result:There were no significant differences in intraoperative blood loss and postoperative drainage between the two groups(P>0.05);the operation time of patients in the treatment group was longer than that in the control group,postoperative drainage time and hospitalization time were shorter than those in the control group(P<0.05).After surgery,the levels of free triiodothyronine(FT_(3))and free thyroxine(FT_(4))in the treatment group were higher than those in the control group,and the level of thyroid stimulating hormone(TSH)was lower than that in the control group(P<0.05).The incidence of postoperative complications in the treatment group was lower than that in the control group(P<0.05).Conclusion:The effect of transoral endoscopic thyroidectomy vestibular approach in the treatment of thyroid disease is better than that of ETE,which is worthy of clinical promotion.

关 键 词：经口腔前庭入路腔镜甲状腺切除术 内镜甲状腺切除术 甲状腺疾病 

分 类 号：R653[医药卫生—外科学]