大理大学学报 ›› 2023, Vol. 8 ›› Issue (2): 46-50.

• 临床医学 • 上一篇    下一篇

经胸乳入路腔镜甲状腺手术与开放手术临床疗效对比研究

程 伟,施海斌,寸向农,艾可为,范佳菊,杨继武*   

  1. (大理大学第一附属医院,云南大理 671000

  • 收稿日期:2022-05-16 修回日期:2022-06-20 出版日期:2023-02-15 发布日期:2023-03-02
  • 通讯作者: 杨继武,教授,E-mail:yangjiwu64@126.com。
  • 作者简介:程伟,主治医师,主要从事普通外科研究。
  • 基金资助:
    云南省教育厅科学研究基金项目(2021J0383);大理市科技计划项目(2021KBG067

A Comparative Study of the Clinical Efficacy of Endoscopic Thyroidectomy via the Thoracic-Breast Approach and Open Thyroidectomy

Cheng Wei Shi Haibin Cun Xiangnong Ai Kewei Fan Jiaju Yang Jiwu*   

  1. The First Affiliated Hospital of Dali University Dali Yunnan 671000 China

  • Received:2022-05-16 Revised:2022-06-20 Online:2023-02-15 Published:2023-03-02

摘要: 目的:比较经胸乳入路腔镜甲状腺手术和开放手术治疗甲状腺良恶性疾病的临床疗效。方法:回顾性分析20114月至202111月在大理大学第一附属医院普外二科接受腔镜甲状腺切除术和开放甲状腺切除术患者的临床资料,根据手术方式分为腔镜组和开放组,比较2组患者的手术时间、术中出血量、住院时间、术后并发症发生率、术后24 h疼痛情况和术后1个月切口满意度情况。结果:2组患者在手术时间、住院时间、术后并发症发生率方面比较差异无统计学意义(P 0.05)。与开放组比较,腔镜组患者术中出血量明显减少,术后疼痛明显减轻,对切口满意度明显提升,差异具有统计学意义(P0.05)。结论:与传统开放手术相比,经胸乳入路腔镜甲状腺手术具有术中出血少、术后疼痛轻、美容效果好的优点,在甲状腺结节的手术治疗中值得推广。

关键词: font-family:宋体, ">腔镜, 开放手术, 甲状腺切除, 胸乳入路

Abstract: Objective To compare the clinical efficacy of endoscopic thyroidectomy via the thoracic-breast approach and open thyroidectomy in the treatment of benign and malignant thyroid diseases. MethodsFrom April 2011 to November 2021 the clinical data of patients who underwent endoscopic thyroidectomy and open thyroidectomy in Department of the Second General Surgery of the First Affiliated Hospital of Dali University were retrospectively analyzed. According to the operation mode the patients were divided into endoscopic group and open group. The operation time intraoperative bleeding hospital stay postoperative complication rate postoperative pain 24 hours and incision satisfaction 1 month after operation were compared between the two groups. Results There was no significant difference between the two groups in terms of operation time hospital stay and postoperative complication rateP >0.05. Compared with the open group the patients in the endoscopic group had significantly reduced intraoperative bleeding significantly reduced postoperative pain and significantly improved their satisfaction with the incision with a statistically significant differenceP<0.05. Conclusion Compared with the traditional open surgery endoscopic thyroidectomy via the thoracic-breast approach has the advantages of less bleeding less postoperative pain and good cosmetic effect which is worth promoting in the surgical treatment of thyroid nodules.

Key words: font-family:Times New Roman, ">endoscopefont-family:Times New Roman, ">, font-family:Times New Roman, "> open surgeryfont-family:Times New Roman, ">, font-family:Times New Roman, "> thyroidectomyfont-family:Times New Roman, ">, font-family:Times New Roman, "> thoracic-breast approach

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