原发性甲状腺功能亢进症患者行腔镜手术与开放手术的疗效对比分析  

Comparison of Curative Effect between Endoscopic Surgery and Open Surgery for Primary Hyperthyroidism Patients

作　　者：谢林翰 凌文龙 韦辰泽 XIE Linhan;LING Wenlong;WEI Chenze(Department of Thyroid Surgery I,the Second Affiliated Hospital of Guangxi University of Science and Technology,Liuzhou 545001,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]广西科技大学第二附属医院甲状腺外科一病区,广西柳州545001

出　　处：《中外医疗》2024年第17期1-4,共4页China & Foreign Medical Treatment

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z-B20220959)。

摘　　要：目的 探讨使用腔镜手术与开放手术治疗原发性甲状腺功能亢进症(Primary Hyperthyroidism,PH)患者的临床疗效。方法 方便选取2021年1月—2022年12月广西科技大学第二附属医院收治的274例PH患者为研究对象,依据不同手术方式分为两组,对照组(n=146)实施开放手术(Open Tracheostomy,OT);观察组(n=128)实施腔镜手术(Endoscopic Thyroidectomy,ET)。比较两组患者术中指标、术后指标及并发症。结果观察组手术时间为(103.6±33.5)min,显著长于对照组的(78.9±25.4)min,差异有统计学意义(t=19.516,P<0.05);观察组术中出血量少于对照组,差异有统计学意义(P<0.05);观察组切口短于对照组,差异有统计学意义(P<0.05)。观察组术后引流量少于对照组,差异有统计学意义(P<0.05);两组患者拆线时间比较,差异无统计学意义(P>0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论 相比OT,ET治疗PH患者时虽然手术时间较长,但可显著降低术中出血量,减少术后并发症的发生,术后引流量较少且手术切口长度较短。Objective To investigate the clinical effect of endoscopic surgery and open surgery in the treatment of primary hyperthyroidism(PH).Methods A total of two hundred and seventy-four PH patients in the Second Affiliated Hospital of Guangxi University of Science and Technology from January 2021 to December 2022 were conveniently selected as the study objects and divided into two groups according to different surgical methods.The control group(n=146) underwent an open tracheostomy(OT).The observation group(n=128) underwent endoscopic thyroidectomy(ET).Intraoperative indexes,postoperative indexes and complications were compared between the two groups.Results The operation time of observation group was(103.6±33.5) min,which was significantly longer than that of control group(78.9±25.4) min,and the difference was statistically significant(t=19.516,P<0.05).The intraoperative blood loss in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).The incision in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The postoperative drainage volume of the observation group was less than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the removal time between the two groups(P>0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Compared with OT,although the operation time of ET in the treatment of PH patients is longer,it can significantly reduce the amount of intraoperative blood loss,reduce the occurrence of postoperative complications,and reduce the postoperative drainage volume and the length of surgical incision.

关 键 词：甲状腺功能亢进症 腔镜手术 开放手术 原发性 

分 类 号：R5[医药卫生—内科学]