免充气腔镜下经腋窝入路与传统颈前入路单侧甲状腺全切术治疗单侧甲状腺良性肿瘤临床疗效比较  

Comparison of clinical effect of unilateral total thyroidectomy via axillary approach under non-inflatable endoscope and traditional anterior cervical approach in treatment of unilateral benign thyroid tumors

作　　者：龚文杰 李德昭 江涛 李海峰 王荣寅 GONG Wenjie;LI Dezhao;JIANG Tao;LI Haifeng;WANG Rongyin(Minimally Invasive Surgery,the Third People's Hospital of Bengbu City Affiliated to Bengbu Medical College,Bengbu 233000,Anhui Province,China)

机构地区：[1]蚌埠医学院附属蚌埠市第三人民医院微创外科,安徽蚌埠233000

出　　处：《新乡医学院学报》2022年第7期622-625,共4页Journal of Xinxiang Medical University

基　　金：蚌埠市科技创新指导类项目(编号:20200323)。

摘　　要：目的比较免充气腔镜下经腋窝入路与传统颈前入路单侧甲状腺全切术治疗单侧甲状腺良性肿瘤的临床效果。方法选择2020年1月至2021年1月于蚌埠医学院附属蚌埠市第三人民医院行手术治疗的单侧甲状腺良性肿瘤患者62例为研究对象,根据手术方式将患者分为观察组(n=30)和对照组(n=32)。观察组患者采用免充气腔镜下经腋窝入路单侧甲状腺全切术,对照组患者采用传统颈前入路单侧甲状腺全切术。比较2组患者的手术时间、术中出血量、术后引流量、住院时间、术后并发症及总体满意度。结果观察组患者手术时间、住院时间显著长于对照组,术后引流量显著多于对照组,术中出血量显著少于对照组,术后3个月满意度评分显著高于对照组(P<0.05)。对照组患者术后发生饮水呛咳1例(3.13%),声音嘶哑2例(6.25%),低钙血症1例(3.13%),术后并发症发生率为12.51%(4/32);观察组患者术后发生饮水呛咳1例(3.33%),声音嘶哑1例(3.33%),术后6 h切口渗血1例(3.33%),术后并发症发生率为10.0%(3/30);2组患者的术后并发症发生率比较差异无统计学意义(χ^(2)=0.000,P>0.05)。结论与颈前入路单侧甲状腺全切术相比,免充气腔镜下经腋窝入路单侧甲状腺全切术治疗单侧甲状腺良性肿瘤安全有效,可行性强,美容性好,患者满意度高。Objective To compare the clinical effect of unilateral total thyroidectomy via axillary approach under non-inflatable endoscope and traditional anterior cervical approach in the treatment of unilateral benign thyroid tumors.Methods A total of 62 patients with unilateral benign thyroid tumors who underwent operation in the Third People's Hospital of Bengbu City Affiliated to Bengbu Medical College from January 2020 to January 2021 were selected as research objects,and the patients were divided into the observation group(n=30)and the control group(n=32)according to the mode of operation.The patients in the observation group underwent unilateral total thyroidectomy via axillary approach under non-inflatable endoscope,the patients in the control group underwent unilateral total thyroidectomy via anterior cervical approach.The operation time,intraoperative blood loss,postoperative drainage,hospitalization time,postoperative complications and overall satisfaction were compared between the two groups.Results The operation time and hospitalization time of patients in the observation group were significantly longer than those in the control group,the postoperative drainage of patients in the observation group was significantly higher than that in the control group,the intraoperative blood loss of patients in the observation group were significantly lower than that in the control group,the satisfaction score of patients in the observation group was significantly higher than that in the control group at three months after operation(P<0.05).In the control group,there were 1 case(3.13%)of drinking water cough,2 cases(6.25%)of hoarseness and 1 case(3.13%)of hypocalcemia;the incidence of postoperative complications was 12.51%(4/32).In the observation group,there were 1 case(3.33%)of drinking water cough,1 case(3.33%)of hoarseness,1 case(3.33%)of incision bleeding at six hours after operation;the incidence of postoperative complications was 10.0%(3/30).There was no significant difference in the incidence of postopera tive compli

关 键 词：甲状腺良性肿瘤 甲状腺切除术 免充气腋窝入路 颈前入路 美容满意度 

分 类 号：R653[医药卫生—外科学]