腔镜下甲状腺手术与传统开放性甲状腺手术的临床研究  

The Clinical Study of Endoscopic Thyroid Surgery and Traditional Open Thyroid Surgery

作　　者：李琪 LI Qi(Department of Nail and Breast Surgery,Longyan First Hospital,Fujian Province,Fujian Longyan 364000)

机构地区：[1]福建省龙岩市第一医院甲乳外科,福建龙岩364000

出　　处：《中国医疗器械信息》2024年第4期51-53,共3页China Medical Device Information

摘　　要：目的:评价分析在甲状腺手术治疗中运用腔镜下甲状腺手术和传统开放式甲状腺手术的临床价值。方法:选取2021年6月~2022年6月本院收治的甲状腺手术患者共计80例,根据手术治疗方式的差异,将40例患者纳入参照组,执行传统开放性甲状腺手术治疗,其余40例患者归入实验组,执行腔镜下甲状腺手术治疗,对两组手术指标进行对比分析。结果:实验组患者的手术时间、术后引流时间、住院时间更短,而术后引流量、术中出血量更少(P<0.05);实验组术后不良反应发生率5.00%(2/40)更低(P<0.05);实验组术后3个月、术后6个月美容评分结果更高(P<0.05);实验组手术后第1日、第2日疼痛程度评分结果更好(P<0.05)。结论:腔镜下甲状腺手术治疗技术的效果更加理想,手术出血量比较少,术后疼痛程度比较轻,均在患者承受范围之内,美容效果良好,术后不良反应发生概率比较低,可促进病情的恢复。Objective:To evaluate and analyze the clinical value of endoscopic thyroidectomy and traditional open thyroidectomy in thyroid surgery.Methods:A total of 80 patients with thyroid surgery admitted to our hospital were selected,with a time distribution limit of June 2021 to June 2022.According to the differences in surgical treatment methods,40 patients were included in the reference group,and the traditional open thyroid surgery treatment scheme was implemented.The remaining 40 patients were classified into the experimental group,and the endoscopic thyroid surgery treatment scheme was implemented.The surgical indicators of the two groups were compared and analyzed.Results:In the experimental group,the observation results of surgical time,postoperative drainage time,and hospital stay were shorter,while the postoperative drainage flow and intraoperative bleeding were less(P<0.05);The incidence of postoperative adverse reactions in the experimental group was lower at 5.00%(2/40)(P<0.05);The cosmetic score of the experimental group was higher 3 months and 6 months after surgery(P<0.05);The experimental group had better pain scores on the first and second days after surgery(P<0.05).Conclusion:Endoscopic thyroid surgery has a more ideal therapeutic effect,with less surgical bleeding,less postoperative pain,and is within the patient’s tolerance.The cosmetic effect is good,and the probability of postoperative adverse reactions is relatively low,which can promote the recovery of the disease.

关 键 词：腹腔镜 甲状腺手术 传统开放性手术 临床效果 

分 类 号：R653[医药卫生—外科学]