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作 者:马震[1] 王薇[1] 耿中利[1] Ma Zhen;Wang Wei;Geng Zhongli(The Second Department of General Surgery,Affiliated Traditional Chinese Medicine Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830011,China)
机构地区:[1]新疆医科大学附属中医医院普外二科,新疆乌鲁木齐830011
出 处:《四川医学》2022年第4期369-373,共5页Sichuan Medical Journal
摘 要:目的探究经腋下内镜甲状腺叶切除术中充气与无充气技术的临床效果对比。方法回顾2019年10月至2021年10月102例接受经腋窝腔镜甲状腺癌切除术的患者临床资料。所有手术均由两名经验丰富的甲状腺外科医生进行。根据手术方法将患者分为两组,分别为充气组和无充气组。比较两组患者的临床效果,如手术时间、住院时间、估计失血量、引流量、术后并发症、VAS评估的术后疼痛评分。结果在研究期间,共有102例患者接受了经腋下腔镜甲状腺癌切除术:52例患者通过充气方式,50例患者使用无充气技术。两组患者一般临床特征差异无统计学意义(P>0.05)。与无充气组相比,充气组的手术效果明显更好:手术时间更短(121.63±33.52)min vs.(142.61±28.94)min(P=0.001),估计失血量更少(15.26±6.18)ml vs.(27.24±6.21)ml(P=0.001),引流量更少(35.25±11.56)ml vs.(57.43±14.21)ml(P=0.001),住院时间缩短(5.21±2.15)d vs.(7.13±1.82)d(P=0.028)。关于术后疼痛,24 h和48 h的视觉模拟评分(VAS)差异无统计学意义(P>0.05)。两组患者术后并发症未见明显差异(P>0.05)。结论与无充气技术相比,充气技术可缩短手术时间,估计失血量,可减少引流量,缩短住院时间,值得在临床推广。Objective To explore the comparison of the clinical effects of air-inflation and non-inflatable techniques in transaxillary endoscopic thyroid lobectomy.Methods The clinical data of 102 patients who underwent endoscopic axillary thyroid cancer resection from October 2019 to October 2021 were reviewed.All operations were performed by two experienced thyroid surgeons.According to the surgical method,the patients were divided into two groups,namely the inflation group and the non-inflation group.The clinical effects of the two groups of patients were compared,such as operation time,hospital stay,estimated blood loss,drainage volume,postoperative complications,postoperative pain score assessed by VAS.Results During the study period,a total of 102 patients underwent transaxillary laparoscopic thyroid cancer resection:52 patients used inflation and 50 patients used non-inflation technology.There was no significant difference in general clinical characteristics between the two groups(P>0.05).Compared with the non-inflation group,the operation effect of the inflation group was significantly greater:the operation time was shorter(121.63±33.52)min vs.(142.61±28.94)min(P=0.001),and the estimated blood loss was less(15.26±6.18)ml vs.(27.24±6.21)ml(P=0.001),less drainage(35.25±11.56)ml vs.(57.43±14.21)ml(P=0.001),shorter hospital stay(5.21±2.15)days vs.(7.13±1.82)days(P=0.028).Regarding to postoperative pain,there was no statistically significant difference between the 24-hour and 48-hour visual analog scale(VAS)(P>0.05).There was no significant difference in postoperative complications between the two groups(P>0.05).Conclusion Compared with the non-inflation technology,the air inflation technology can shorten the operation time,predict the blood loss,reduce the drainage volume,and shorten the hospital stay.It is worthy of clinical promotion.
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