摘要
目的比较腔镜下甲状腺切除术与开放手术的临床效果。方法回顾性分析我院2009年1月～2011年8月25例腔镜下甲状腺切除术(腔镜组)和同期25例开放性甲状腺手术(开放组)的临床资料。比较两组的手术时间、术中出血量、术中引流量等术中指标以及术后进食时间、恢复活动时间、镇痛药应用剂数、住院时间等指标。结果腔镜组的术中出血量明显少于开放组(t=9.16,P<0.05);两组手术时间和术中引流量比较差异无统计学意义(t=1.22,P>0.05);腔镜组术后进食时间、恢复活动时间、镇痛剂使用数量以及住院时间等术后指标明显优于对照组(t=7.43t,=8.28,χ2=10.09t,=7.79,P<0.05)。结论腔镜下甲状腺切除术的临床疗效优于开放性手术,患者的痛苦小,恢复快,值得推广应用。
Objective To compare endoscopic and open surgical thyroidectomy clinical results. Methods A retrospective analysis of our hospital from January 2009 to August 2011,25 cases of endoscopic thyroid surgery （laparoseopic group） and open the same period 25 cases of thyroid surgery（open group） and clinical data. We compared operative time,blood loss,intraoperative drainage and other indicators of intraoperative and postoperative consumption of time,recovery activities time,number of doses of analgesic drug application, length of stay and other indicators. Results Endoscopic group blood loss was significantly less than the open group（t=9.16,P〈0.05）; Two groups of operative time and intraoperative drainage were no significant difference（t=1.22,P〉0.05）;Laparoscopic group after feeding time,recovery time activities,the number of analgesic use and postoperative hospital stay and other indicators than the control group （t=7.43, t=8.28, χ^ 2=10-09, t=7.79, P〈0.05）. Conclusion Endoscopic thyroidectomy is superior to the clinical efficacy of open surgery,, the patient＇s pain,quick recovery, should be widely applied.
出处
《中国现代医生》
2011年第35期150-151,共2页
China Modern Doctor
