经口前庭入路腔镜甲状腺切除术在双侧甲状腺癌治疗中的应用效果研究  

Application effect of endoscopic thyroidectomy via oral vestibular in the treatment of bilateral thyroid cancer

作　　者：黄鹏 于延铭 HUANG Peng;YU Yan-ming(Second Department of General Surgery,Panjin Central Hospital,Panjin 124000,China)

机构地区：[1]辽宁省盘锦市中心医院普外二科,124000 [2]锦州医科大学,121000

出　　处：《中国现代药物应用》2022年第17期66-68,共3页Chinese Journal of Modern Drug Application

摘　　要：目的分析经口前庭入路腔镜甲状腺切除术治疗双侧甲状腺癌的临床效果。方法200例双侧甲状腺癌患者为研究对象,根据治疗方法不同分为实验组和对照组,每组100例。对照组采用经胸乳入路腔镜甲状腺切除术治疗,实验组采用经口前庭入路腔镜甲状腺切除术治疗。对比两组手术相关指标、并发症发生情况、切口美观度、治疗前后生存质量评分。结果实验组术中出血量(37.02±17.53)ml少于对照组的(71.44±25.88)ml,住院时间(5.27±1.08)d短于对照组的(7.58±2.61)d,手术时间(191.01±60.11)min长于对照组的(142.76±30.52)min,差异有统计学意义(P<0.05)。实验组并发症发生率3.00%低于对照组的11.00%,差异有统计学意义(P<0.05)。实验组患者在外观上并未出现切口,因此对患者的美观度无任何影响;对照组切口美观度评分为(11.92±0.65)分,患者会出现比较明显的瘢痕。治疗后,实验组生存质量评分(84.53±4.27)分高于对照组的(70.98±4.28)分,差异有统计学意义(P<0.05)。结论经口前庭入路腔镜甲状腺切除术治疗双侧单状腺癌患者的效果显著,可以有效减少患者的并发症,具有较高的安全性,还可改善患者的生存质量。Objective To analyze the clinical effect of endoscopic thyroidectomy via oral vestibular in the treatment of bilateral thyroid cancer.Methods A total of 200 patients with bilateral thyroid cancer were selected as the research subjects,and were divided into experimental group and control group according to different treatment methods,with 100 cases in each group.The control group was treated with endoscopic thyroidectomy via thoracic and breast approach,and the experimental group was treated with endoscopic thyroidectomy via oral vestibular.The surgery-related indicators,incidence of complications,incision aesthetics,and quality of life scores before and after treatment were compared between the two groups.Results The intraoperative blood loss(37.02±17.53)ml of the experimental group was less than(71.44±25.88)ml of the control group;the hospital stay(5.27±1.08)d of the experimental group was shorter than(7.58±2.61)d of the control group;the operation time(191.01±60.11)min of the experimental group was longer than(142.76±30.52)min of the control group;all the differences were statistically significant(P<0.05).The incidence of complications 3.00%in the experimental group was lower than 11.00%in the control group,and the difference was statistically significant(P<0.05).Patients in the experimental group did not have incisions in appearance,so there was no impact on the aesthetics of the patients.The beauty score of the incision in the control group was(11.92±0.65)points,and the patients would have obvious scars.After treatment,the quality of life score(84.53±4.27)points of the experimental group was higher than(70.98±4.28)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Endoscopic thyroidectomy via oral vestibular has significant effect on patients with bilateral thyroid cancer,and can effectively reduce the complications,improve the quality of life of patients with high safety.

关 键 词：经口前庭入路腔镜 甲状腺切除术 双侧甲状腺癌 治疗效果 并发症 

分 类 号：R736.1[医药卫生—肿瘤]