精细化被膜解剖技术在腔镜甲状腺手术中的应用效果观察  

Observations of Application Effect of Refined Capsule Anatomy Technique in Laparoscopy Thyroid Surgery

作　　者：何文海[1] He Wen-hai(Department of General Surgery,Lingshan County People's Hospital,Lingshan 535400,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]广西灵山县人民医院普通外科,广西灵山535400

出　　处：《中国社区医师》2023年第5期55-57,共3页Chinese Community Doctors

基　　金：钦州市科学研究与技术开发科技攻关课题(编号:20202739)。

摘　　要：目的:探讨精细化被膜解剖技术在腔镜甲状腺手术中的应用效果。方法:选取2020年6月—2021年10月广西灵山县人民医院收治的100例拟行甲状腺手术的患者作为研究对象,根据随机数字表法分为观察组与对照组,各50例。对照组实施常规腔镜甲状腺手术,观察组实施精细化被膜解剖技术,比较两组临床指标、并发症发生情况、术后血清甲状旁腺激素(PTH)与血清钙水平。结果:观察组术中出血量、术后引流量均低于对照组,住院时间短于对照组,差异有统计学意义(P<0.001)。观察组并发症发生率低于对照组,差异有统计学意义(P=0.027)。治疗前,两组PTH与血清钙水平比较,差异无统计学意义(P>0.05);治疗后,观察组PTH与血清钙水平均低于对照组,差异有统计学意义(P<0.001)。结论:精细化被膜解剖技术在腔镜甲状腺手术中的应用效果显著,患者术中出血少,引流量少,不易损伤喉返神经、甲状旁腺,可减少并发症,同时血钙控制稳定,住院时间短。Objective:To explore the application effect of refined capsule anatomy technique in the laparoscopy thyroid surgery.Methods:A total of 100 patients undergoing thyroid surgery in Lingshan County People's Hospital from June 2020 to October 2021 were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 50 cases in each group.The control group underwent conventional laparoscopy thyroid surgery,and the observation group underwent refined capsule anatomy technique.The clinical indicators,occurrence of complications,postoperative serum parathyroid hormone(PTH)and serum calcium levels were compared between two groups.Results:The intraoperative blood loss and postoperative drainage volume in the observation group were lower than those in the control group,and the length of hospital stay in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.001).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.027).Before treatment,there was no significant difference in PTH and serum calcium levels between the two groups(P>0.05).After treatment,the levels of PTH and serum calcium in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.001).Conclusion:The application effect of refined capsule anatomy technique in laparoscopy thyroid surgery is significant,it has less intraoperative blood loss and less drainage volume,and is not prone to damage the recurrent laryngeal nerve and parathyroid glands,it can reduce complications and stably control blood calcium with short hospital stay.

关 键 词：腔镜手术 精细化被膜解剖 甲状腺 

分 类 号：R653[医药卫生—外科学]