摘要
目的探索甲状腺微小癌经胸乳入路与经颈部入路微创腔镜手术治疗效果、并发症及美观满意度。方法选取2017年7月—2018年7月期间该院甲状腺微小癌100例患者(实施奇偶数分组模式),对照组的50例患者进行经颈部入路治疗,观察组的50例患者进行经胸乳入路治疗,随后对比两组患者TSH、T4、FT4、FT3、并发症发生率、术后引流量、术中出血量、手术时间、住院时间、术后3 d VAS评分、美容效果满意度。结果观察组TSH(1.11±0.05)mU/L、T4(7.20±0.19)μg/dL、FT4(1.76±0.68)ng/dL、FT3(2.15±0.21)ng/dL、并发症发生率(4.00%)、术后引流量(81.43±8.95)mL、术中出血量(24.18±4.33)mL、手术时间(48.95±5.33)min、住院时间(5.46±1.33)d、术后3 d VAS评分(1.49±0.24)分、美容效果满意度(100.00%)均优于对照组(t/χ^2=1.236 5、1.542 5、1.133 5、1.062 3、11.086 5、15.395 6、10.132 8、24.865 8、17.865 2、6.842 5、14.185 6;P<0.05)。结论胸乳入路微创腔镜手术在甲状腺微小癌患者中效果更为明显。
Objective To explore the effect,complications and aesthetic satisfaction of minimally invasive laparoscopic surgery for thyroid microcarcinoma through transthoracic approach and transcervical approach.Methods From July 2017 to July 2018,100 patients with thyroid microcarcinoma were selected.The 50 patients in the control group were treated by cervical approach,while the 50 patients in the observation group were treated by transthoracic mastectomy.The incidence of TSH,T4,FT4,FT3,complications,postoperative drainage,intraoperative bleeding,length of operation,length of hospitalization,VAS score 3 days after operation,and beauty effect satisfaction were compared between the two groups.Results The incidence of complications of TSH(1.11±0.05)mU/L,T4(7.20±0.19)ug/dl,FT4(1.76±0.68)ng/dL,FT3(2.15±0.21)ng/dL,rate of complication(4.00%),postoperative drainage volume(81.43±8.95)mL,intraoperative bleeding volume(24.18±4.33)mL,operation time(48.95±5.33)min,hospitalization time(5.46±1.33)days,VAS score points 3 days after operation(1.49±0.24)points,and the satisfactory rate of cosmetic effect(100.00%)in the observation group were better than those of the control group(t/χ^2=1.236 5,1.542 5,1.133 5,1.062 3,11.086 5,15.395 6,10.132 8,24.865 8,17.865 2,6.842 5,14.185 6;P<0.05).Conclusion Minimally invasive thoracotomy is effective in patients with thyroid microcarcinoma.
作者
林旭辉
LIN;Xu-hui(Department of General Surgery,The Third People's Hospital of Huizhou City,Huizhou,Guangdong Province,516002 China)
出处
《系统医学》
2019年第12期101-103,共3页
Systems Medicine
关键词
甲状腺微小癌
经胸乳入路
经颈部入路
腔镜手术
并发症
美观满意度
Thyroid microcarcinoma
Transthoracic approach
Transcervical approach
Endoscopic surgery
Complications
Aesthetic satisfaction
