摘要
目的比较腔镜与传统手术治疗甲状腺功能亢进症的临床效果，探讨手术治疗甲状腺功能亢进症的最佳术式。方法选择甲状腺功能亢进症患者78例，分为腔镜组和传统组，腔镜组（48例）采取乳晕入路腔镜治疗；传统组（30例）采取开放性手术治疗，比较两组患者治疗后的一般情况及治疗4周后的临床情况。结果两组患者术中出血量、术后引流量、住院时间及治疗4周后切口继发性感染、颈部感觉异常、吞咽不适、颈部外观满意例数比较差异具有（高度）统计学意义（P〈0．05，P〈0．01），腔镜组优于传统组；手术时间和住院费用比较，腔镜组多于传统组，差异具有统计学意义（P〈0．05）。结论与传统开放性手术治疗甲状腺功能亢进症相比，腔镜下手术治疗具有优势，应严格手术适应证范围，减少术后并发症。
Objective To compare the clinical effect of endoscopic surgery and traditional surgery in the treatment of hyperthyroidism and explore the best surgical procedures. Method Seventy-eight hyperthyroidism patients were enrolled and divided into the endoscopic group （via breast areola approach） and the traditional group. General situation and the clinical conditions after 4 weeks＇ treatment were observed and compared between the two groups. Result Compared with the traditional group, the endoscopic group was statistically superior in blood loss, postoperative drainage, length of stay, incision of secondary infection, neck paresthesia, dysphagia, and neck appearance satisfaction （ all P 〈 0.05 ）. Whereas the traditional group showed advantages in both operative time and hospital costs to the endoscopic group （ all P 〈 0. 05 ）. Conclusion Compared with traditional surgery in the treatment of hyperthyroidism, endoscopic surgery has its advantages, based on strict surgical indications and postoperative complications reducing.
出处
《微创医学》
2013年第4期420-422,共3页
Journal of Minimally Invasive Medicine
