4K与3D腔镜系统在经胸乳径路甲状腺良性疾病手术中的应用研究  

Study on the application value of 4K and 3D endoscopic system in benign thyroid disease surgery through transthoracic and breast approach

作　　者：陈红军 褚亮[1] 申启利 周少波[1] 蒋磊[1] 单二波[1] CHEN Hong-jun;CHU Liang;SHEN Qi-li;ZHOU Shao-bo;JIANG Lei;SHAN Er-bo(Department of General Surgery,The Second Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233040,China)

机构地区：[1]蚌埠医学院第二附属医院普外科,安徽蚌埠233040

出　　处：《蚌埠医学院学报》2023年第5期590-593,共4页Journal of Bengbu Medical College

基　　金：安徽省高校协同创新项目(GXXT-2019-014)。

摘　　要：目的:探讨4K与3D腔镜系统在经胸乳径路甲状腺良性疾病手术中的应用效果。方法:选取甲状腺良性疾病病人50例,将病人分为4K组和3D组,各25例。分别采用4K和3D腔镜系统行甲状腺手术,收集2组病人的临床指标进行比较,并对手术医师进行主观感受问卷调查。结果:在手术时间方面,4K组和3D组之间差异无统计学意义(P>0.05),其中建立空间时间4K组长于3D组(P<0.01),2组腺体切除时间差异无统计学意义(P>0.05)。2组在术中出血量、术后引流量、引流时间、术后住院时间和并发症发生率方面差异均无统计学意义(P>0.05)。主刀医师主观感受问卷调查显示,在视疲劳度、眩晕度和颜色分辨率和方面,4K组均高于3D组(P<0.05);在空间定向感、深度分辨率方面,3D组均高于4K组(P<0.05);在术中操作感方面,2组之间差异无统计学意义(P>0.05)。结论:相较于3D腔镜系统,4K腔镜系统应用于甲状腺良性疾病手术是安全可行的,4K腔镜系统可提供更好的分辨率、视敏度并能降低视疲劳度,3D腹腔镜系统较4K腔镜系统可以缩短手术中建立空间的时间,并可提供更好的空间定位感、纵深感。Objective:To investigate the application value of 4K and 3D endoscopic system in benign thyroid disease surgery through transthoracic and breast approach.Methods:Fifty patients with benign thyroid disease were divided into the 4K group(n=25)and 3D group(n=25)according to the different endoscopic systems.The clinical indicators of two groups were collected and compared,and the subjective feelings of surgeons were investigated by questionnaire.Results:There was no statistical significance in the operation time between the 4K group and 3D group(P>0.05).The building space time in 4K group was longer than that in 3D group(P<0.01),and the difference of the time of gland resection was not statistically significant between two group(P>0.05).The differences of the intraoperative blood loss,postoperative drainage volume,drainage time,postoperative hospital stay and incidence of complications between two group were not statistically significant(P>0.05).The subjective perception questionnaire survey of surgeons showed that the visual fatigue,vertigo and color resolution in 4K group were higher than those in 3D group(P<0.05).The spatial orientation and depth resolution in 3D group were higher than those in 4K group(P<0.05).There was no statistical significance in the sense of operation between two groups(P>0.05).Conclusions:Compared with the 3D endoscopic system,the 4K endoscopic system is safe and feasible in the application of benign thyroid disease surgery,and the 4K endoscopic system can provide better resolution and visual acuity,and reduce the visual fatigue.Compared with the 4K endoscopic system,the 3D endosscopic system can shorten the time of the building space during the operation,and provide a better sense of spatial orientation and depth.

关 键 词：甲状腺疾病 甲状腺切除术 腹腔镜手术 4K腹腔镜 3D腹腔镜 

分 类 号：R581[医药卫生—内分泌]