摘要
目的:研究内镜辅助锁骨下切口甲状腺切除术的临床应用价值。方法:选取2014年4月-2015年8月期间在本院行甲状腺切除术的患者100例,根据随机数表法将所有患者分为对照组和观察组,每组50例。对照组患者给予传统甲状腺切除术,观察组患者采用无注气内镜辅助锁骨下切口甲状腺切除术,比较两组的手术时间、术中出血量、术后引流量、住院时间、切口长度、术后并发症发生率及患者术后美容满意度。结果:观察组患者术中出血量、术后引流量、住院时间、切口长度、患者美容满意度分别为(23.8±11.9)m L、(35.1±18.8)m L、(5.6±1.8)d、(2.4±0.4)cm、96.0%,对照组分别为(39.4±13.6)m L、(55.4±27.2)m L、(7.3±2.7)d、(7.85±2.3)cm和70.0%,观察组均显著优于对照组;但观察组患者手术时间为(107.6±35.3)min,对照组患者手术时间为为(89.5±31.5)min,观察组手术时间长于对照组;观察组切口疼痛发生率为2.0%,显著优于对照组患者的20.0%,两组比较差异均有统计学意义(P<0.05)。结论:内镜辅助锁骨下切口甲状腺切除术具有出血量少、住院时间短、切口小、恢复快、并发症少等优点,为甲状腺疾病患者手术方法提供一个新的选择。
Objective：To study the clinical effect of endoscop-assisted thyroidectomy through subclavicular approach.Method：One hundred patients undergoing thyroidectomy in our hospital from April 2014 to August 2015 were selected and divided into the control group and observation group according to the random number table,fifty cases in each group.The control group was given traditional thyroid surgery treatment while observation group was given endoscop-assisted thyroidectomy through subclavicular approach.The operation time,bleeding volume,postoperative drainage volume,hospital stays,length of the incision,postoperative complications and the stratification of two groups were compared.Result：The bleeding volume,postoperative drainage volume,hospital stays,length of the incision and the stratification rate in the observation group were respectively（23.8±11.9）m L,（35.1±18.8）m L,（5.6±1.8）d,（2.4±0.4）cm and 96.0%,better than（39.4±13.6）m L,（55.4±27.2）m L,（7.3±2.7）d,（7.85±2.3）cm and 70.0% in the control group;while the operation time of observation group was（107.6±35.3）min,longer than（89.5±31.5）min of control group;the rate of incision pain in observation group was 2.0%,much better than 20.0% of control group,the differences were statistically significant（P〈0.05）.Conclusion：Endoscop-assisted thyroidectomy through subclavicular approach leaves has no scar on the neck,less bleeding,shorter hospital stays,smaller incisions,faster recovery and fewer complications,provides a simple safe way for the thyroid operation.
出处
《中国医学创新》
CAS
2016年第13期40-43,共4页
Medical Innovation of China
基金
2014年度江门市第九批科技计划项目(江科[2014]79号-11)
关键词
内镜
甲状腺切除术
锁骨下切口
Endoscope
Thyroidectomy
Subclavicular approach
