腔镜辅助微创甲状腺手术的临床应用价值  

Clinical Value of Endoscopic Assisted Minimally Invasive Thyroidectomy

作　　者：张晓林[1] 孙成林[1] ZHANG Xiao-lin;SUN Cheng-lin(Department of General Surgery,Affiliated Central Hospital of Shenyang Medical College,Liaoning Shenyang 110024)

机构地区：[1]沈阳医学院附属中心医院普外一科,辽宁沈阳110024

出　　处：《中国医疗器械信息》2022年第13期97-99,共3页China Medical Device Information

摘　　要：目的:探究腔镜辅助微创甲状腺手术的临床效果。方法:选取2018年7月~2019年12月在沈阳医学院附属中心医院接受甲状腺手术的96例患者,采用数字表法分组,随机将研究对象分为观察组和对照组(每组48例)。对照组患者接受传统甲状腺切除术,观察组采用腔镜辅助微创手术,对比分析两组的手术效果相关指标(手术时间、术中出血量、术后创面引流量、住院时间)、手术美容满意度及术后并发症发生率。结果:两组患者的手术时间无明显差异(P>0.05),但术中出血量、术后创面引流量及住院天数,观察组均低于对照组(P<0.05)。B手术美容满意度为25.00%,观察组手术美容满意度为95.83%,观察组高于对照组(P<0.05)。观察组术后并发症发生率为25.00%,对照组术后并发症发生率为68.75%,观察组低于对照组(P<0.05)。结论:针对临床收治的甲状腺患者,行腔镜辅助微创手术方式治疗,可有效减少术中出血量和术后创面引流量,缩短住院天数,并降低并发症发生率,治疗安全性高,且患者对手术美容效果满意,具有非常重要的临床应用价值。Objective:To investigate the clinical effect of endoscope assisted minimally invasive thyroid surgery.Methods:A total of 96 patients who underwent thyroid surgery at the Affiliated Central Hospital of Shenyang Medical College between July 2018 and December 2019 were selected,grouped by the numerical table method,and the study subjects were randomly divided into two groups––observation group and control group(48 patients in each group).Patients in control group underwent traditional thyroidectomy,while patients in observation group underwent minimally invasive surgery assisted by endoscope,and the operation outcome related indicators(operation time,intraoperative blood loss,postoperative wound drainage,hospital stay),surgical cosmetic satisfaction and postoperative complication rate were comparatively analyzed between the two groups.Results:There was no significant difference in operation time between the two groups(P>0.05),but intraoperative blood loss,postoperative wound drainage,and hospitalization days,were lower in observation group than in control group(P<0.05).The satisfaction rate of surgical cosmesis was 25.00%in control group,95.83%in observation group,and higher in observation group than in control group(P<0.05).The postoperative complication rate was 25.00%in observation group and 68.75%in control group,and was lower in observation group than in control group(P<0.05).Conclusion:For clinically admitted thyroid patients,treatment with a cavoscopy assisted minimally invasive surgical modality can effectively reduce intraoperative blood loss and postoperative wound drainage,shorten the number of hospital days,and reduce the incidence of complications,the safety of treatment is high,and the patients are satisfied with the cosmetic results of surgery,which has a very important clinical application value.

关 键 词：甲状腺 外科手术 腔镜微创 临床效果 并发症 手术美容满意度 

分 类 号：R581[医药卫生—内分泌]