摘要
目的观察微型腔镜下甲状腺肿物切除术的疗效及安全性。方法选取2014年6月至2016年12月收治的62例甲状腺肿物患者,通过随机数表法将所有患者均分为观察组(n=31)和对照组(n=31)。对照组采取传统的甲状腺切除术,观察组采取微型腔镜下甲状腺肿物切除术。对比两组术后的围术期指标和并发症。结果实验组的手术出血量为(23.1±10.9)ml,显著低于对照组的(48.6±19.2)ml,差异有显著性(t=6.431,P<0.001);实验组的术后颈部恢复活动时间为(23.1±8.0)h,显著低于对照组的(40.6±11.3)h,差异有显著性(t=7.038,P<0.001)。实验组手术时间(106.2±29.3 min)与对照组(96.9±23.2 min)比较,差异无统计学意义(t=1.386,P=0.171)。实验组的吞咽不适率为12.8%,显著低于对照组的41.9%,差异有显著性(χ~2=6.565,P=1.010);实验组的感觉异常率为6.4%,显著低于对照组的29.0%,差异有显著性(χ~2=5.415,P=0.020)。实验组声音嘶哑率(6.4%)与对照组(3.2%)相比,差异无显著性(χ~2=0.350,P=0.554)。实验组的满意度(7.9±1.6分)明显高于实验组(5.5±1.3分),差异有统计学意义(t=6.482,P<0.001);实验组的疼痛度(6.3±0.5分)略高于对照组(6.1±0.6分),但差异无统计学意义(t=1.426,P=0.159)。结论微型腔镜下甲状腺肿物切除术可减少出血量,降低并发症发生率和提高术后恢复速度,值得临床推荐。
eObjective To study the efficacy and safety of thyroidectomy on micro endoscopic.Methods 62 patients with thyroid tumor in our hospital from June 2014 to December 2016 were selected who were divided into observation group （n=31） and control group （n=31） by random number table method.The control group adopted conventional thyroidectomy, the observation group adopted micro endoscopic thyroidectomy.The curative effect and complications were compared between the two groups after operation.Results The amount of bleeding in the experimental group was （23.1±10.9） ml, significantly lower than that of the control group （48.6±19.2） ml （t=6.431, P〈0.001）.The postoperative recovery time of the experimental group was （23.1±8.0） h, which was significantly lower than that of the control group （40.6±11.3） h （t=7.038, P〈0.001）.The operation time of the experimental group was （106.2±29.3 min） which compared with （96.9±23.2 min） of the control group , the difference was not statistically significant （t=1.386, P=0.171）.The experimental group was 12.8%, which was significantly lower than that of the control group, and the rate of dysphagia was 41.9% （χ2=6.565,P=1.010）.The abnormal rate of experimental group feeling was 6.4%, significantly lower than the control group 29% （χ2=5.415, P=0.020）.Compared with the control group （3.2%）,hoarseness rate （6.4%） in the experimental group was lower than that in the control group and no significant difference （χ2=0.350, P=0.554）.The satisfaction of the experimental group （7.9±1.6 sores） was significantly higher than that of the experimental group （6.1±0.6 sores）, the difference was statistically significant （t=6.482, P〈0.001）.The pain of the experimental group （6.3±0.5 sores） was slightly higher than that of the control group （0.6±6.1 sores） （t=1.426, P=0.159）.Conclusion Micro endoscopic thyroidectomy can reduce bleeding, reduce complications and improve the speed of recovery after operation
出处
《临床和实验医学杂志》
2017年第14期1422-1424,共3页
Journal of Clinical and Experimental Medicine
关键词
甲状腺肿物
微型腔镜
甲状腺肿物切除术
围术期指标
术后恢复
Thyroid neoplasms
Micro mirror
Excision of thyroid tumor
Perioperative index
Postoperative recovery
