摘要
目的探讨乳晕入路腔镜甲状腺切除术治疗甲状腺良性结节的疗效及对机体的创伤程度,为临床应用提供理论依据。方法选取2016年9月至2017年6月于河源市人民医院接受治疗的单侧甲状腺单发良性结节需进行手术切除的女性患者40例为研究对象,根据手术方式分为观察组和对照组,每组20例。观察组采用乳晕入路腔镜甲状腺切除术,对照组采用传统开放切除手术。比较两组患者的手术基本情况、术后恢复情况、创伤及应激反应情况。结果观察组患者术中出血量、引流量、并发症发生率及疼痛视觉模拟量表(VAS)评分均明显低于对照组,差异均有统计学意义(均P<0.05);术后患者满意度高于对照组,差异有统计学意义(P<0.05);两组患者白细胞介素-6(IL-6)和皮质醇(CORT)含量在术后2 h均出现不同程度的波动。结论乳晕入路腔镜甲状腺术较传统开放切除手术治疗甲状腺良性结节术中出血量少、安全、美容效果佳,但两者对机体造成的创伤程度相似。
Objective To explore the operation result and trauma of endoscopic thyroidectomy via breast approach for treatment of benign thyroid tumor.Methods 40 patients with benign thyroid tumor were divided into two groups,20 cases in the endoscope group received endoscopic thyroidectomy via mammary areola approach,and 20 cases in the open operation group received traditional open thyroidectomy.Results Compared with the open operationgroup,The endoscope group showed less bleeding during operation,complications and VAS s（P〈0.05）. The patients in the endoscope group were satisfied with the cosmetic result of the operation.Conclusion Endoscopic thyroidectomy via mammary areola approach has such advantages as less bleeding during operation,safe and reliable,quickly postoperative recovery and ideal cosmetic results.
出处
《中国药物经济学》
2017年第7期135-138,共4页
China Journal of Pharmaceutical Economics
基金
卫生部医药卫生科技项目(项目名称:TST术治疗混合痔的临床疗效分析
编号:44011120161038K)
