摘要
目的:探究腔镜下经乳晕双通道手术治疗甲状腺良性肿瘤的效果及对炎症、心理状况的影响。方法:回顾性分析2016年2月-2018年3月在笔者医院就诊的90例甲状腺良性肿瘤患者的诊疗情况,按照治疗方式的不同,分为对照组和观察组。对照组进行传统开放性甲状腺手术,观察组采用腔镜下经乳晕双通道手术进行治疗。治疗6h后,对比分析炎症因子水平,焦虑自评量表(Self-ratinganxietyscale,SAS)及抑郁自评量表(Self-ratingdepressionscale,SDS)评分,同时对两组患者视觉模拟评分(Visualanaloguescale,VAS)、数字评分系统(Numericalscoringsystem,NSS)评分及术后并发症发生率进行对比分析。结果:观察组手术时间、术中出血量、术后引流时间、引流量及住院时间明显少于对照组,差异有统计学意义(P<0.05)。术后,两组hs-CRP、IL-6及TNF-α因子水平均明显升高,且观察组炎症因子水平明显低于对照组(P<0.05)。术后,两组SAS评分、SDS评分、VAS评分均明显降低,且观察组评分明显低于对照组(P<0.05)。观察组术后1个月及3个月美学NSS评分明显高于对照组(P<0.05)。观察组肺炎、甲状腺功能减退等并发症发生率(6.67%)明显低于对照组(22.22%),两组比较差异有统计学意义(P<0.05)。结论:腔镜下经乳晕双通道手术治疗甲状腺良性肿瘤具有较好的治疗效果,炎症刺激反应小,可显著缓解患者焦虑、抑郁等消极情绪,显著提高患者NSS评分,具有较好的美学效果。
Objective To investigate the effect of endoscopic double-channel surgery for the treatment of benign thyroid tumors and its influence on inflammation and psychological status.Methods Retrospective analysis of the diagnosis and treatment of 90 patients with benign thyroid tumors who were treated in our hospital from February 2016 to March 2018.According to the treatment,they were divided into the control group and the observation group.The control group was treated with conventional open thyroid surgery,and the observation group was treated with endoscopic double-channel surgery.After 6 hours of treatment,the inflammatory factor levels,anxiety scale and depression self-rating scale(SAS and SDS)scores were compared,and the visual analogue scale(VAS)score,numerical scoring system(NSS)score and postoperative scores of the two groups were compared.The incidence of complications was compared and analyzed.Results The operation time,intraoperative blood loss,postoperative drainage time,drainage volume and hospitalization time in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).After operation,the levels of hs-CRP,IL-6 and TNF-αwere significantly increased in the two groups,and the levels of inflammatory factors in the observation group were significantly lower than those in the control group(P<0.05).After operation,the SAS score,SDS score and VAS score of the two groups were significantly lower,and the score of the observation group was significantly lower than that of the control group(P<0.05).The NSS scores of the observation group were significantly higher than those of the control group at 1 month and 3 months after operation(P<0.05).The incidence of complications such as pneumonia and hypothyroidism in the observation group(6.67%)was significantly lower than that in the control group(22.22%,P<0.05).Conclusion The endoscopic double-channel operation of the areola has a good therapeutic effect on the treatment of benign thyroid tumor
作者
柯章明
陈怡发
陈洁
KE Zhang-ming;CHEN Yi-fa;CHEN Jie(Department of General Surgery Section Ⅰ,Ezhou Central Hospital,Ezhou436000,Hubei,China;Department of Orthopedics Section Ⅰ,Ezhou Central Hospital,Ezhou436000,Hubei,China)
出处
《中国美容医学》
CAS
2019年第1期49-52,共4页
Chinese Journal of Aesthetic Medicine
关键词
甲状腺
良性肿瘤
乳晕双通道
手术治疗
炎症反应
焦虑
抑郁
thyroid
benign neoplasms
double-channel areola
surgical treatment
inflammatory response
anxiety
depression
