腔镜下甲状腺癌根治术对甲状腺癌患者术中出血量及术后并发症的影响  

Effect of endoscopic thyroidectomy on intraoperative blood loss volume and postoperative complication in patients with thyroid cancer

作　　者：岳文亮[1] 张玉洁 彭文定 YUE Wenliang;ZHANG Yujie;PENG Wending(Second Department of General Surgery,the People’s Hospital of Anyang City,Anyang 455000,He’nan,China)

机构地区：[1]安阳市人民医院普外二科,河南安阳455000

出　　处：《癌症进展》2025年第7期791-794,共4页Oncology Progress

摘　　要：目的探讨腔镜下甲状腺癌根治术对甲状腺癌患者术中出血量及术后并发症的影响。方法将180例甲状腺癌患者按照手术方式的不同分为对照组(89例)、观察组(91例),对照组采取传统甲状腺癌根治术,观察组采取腔镜下甲状腺癌根治术。比较两组患者临床指标、并发症发生情况及甲状腺功能指标[甲状腺素(T_(4))、促甲状腺素(TSH)及三碘甲状腺原氨酸(T_(3))]。结果观察组患者术中出血量明显少于对照组,住院时间明显短于对照组,术后24 h时视觉模拟评分法(VAS)评分、并发症总发生率均明显低于对照组,差异均有统计学意义(P﹤0.01)。术后3天,两组患者TSH水平均较术前升高,T_(4)、T3水平均较术前降低,且观察组患者TSH水平高于对照组,T_(4)、T3水平均低于对照组,差异均有统计学意义(P﹤0.05)。结论腔镜下甲状腺癌根治术可减少甲状腺癌患者术中出血量,减轻术后疼痛程度,改善甲状腺功能,减少并发症,促进患者的术后恢复,有临床应用价值。Objective To investigate the effect of endoscopic thyroidectomy on intraoperative blood loss volume and postoperative complications in patients with thyroid cancer(TC).Method Totally 180 patients with TC were divided into control group(89 cases)and observation group(91 cases)according to different surgical methods.The control group was treated with traditional radical resection of TC,the observation group was treated with endoscopic radical resection of TC.The clinical indicators,complications and thyroid function indexes[thyroxine(T_(4)),thyroid stimulating hormone(TSH)and triiodothyronine(T_(3))]were compared between the two groups.Result The blood loss in the observation group was significantly less than that in the control group,the hospitalization time was significantly shorter than that in the control group,the visual analogue scale(VAS)score and the total incidence of complications at 24 hours after operation were significantly lower than those in the control group,and the differences were statistically significant(P<0.01).Three days after surgery,the levels of TSH in the two groups were higher than those before surgery,and the levels of T_(4) and T_(3) were lower than those before surgery,and the level of TSH in the observation group was higher than that in the control group,and the levels of T_(4) and T_(3) were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Endoscopic radical thyroidectomy can reduce intraoperative blood loss,relieve postoperative pain,improve thyroid function,reduce complications,and promote postoperative recovery in patients with TC,which has clinical value.

关 键 词：甲状腺癌 腔镜下甲状腺癌根治术 术中出血量 并发症 

分 类 号：R736.1[医药卫生—肿瘤]