摘要
目的:探究腔镜辅助下进行甲状腺切除术的治疗效果及安全性。方法:2016年6月-2019年6月收治甲状腺腺癌患者50例,根据患者意愿分为两组。对照组实施常规开放手术;观察组实施经口底入路腔镜手术。比较两组手术各项指标水平及术后随访结果。结果:观察组术中出血量少于对照组,术后住院时间短于对照组,美容效果满意率高于对照组,差异均有统计学意义(P<0.05);两组手术时间、复发率及咽部不适感发生率比较,差异无统计学意义(P>0.05)。结论:腔镜辅助手术治疗甲状腺腺癌可取得与开放性手术一样的治疗效果,且能够减少出血量,患者术后恢复快,切口隐蔽,美容效果良好,安全性良好。
Objective:To investigate the efficacy and safety of endoscopic assisted thyroidectomy.Methods:From June 2016 to June 2019,50 patients with thyroid adenocarcinoma were selected and divided into two groups according to their wishes.The control group received conventional open surgery,while the observation group received endoscopic surgery via the floor of mouth approach.The operation indexes and postoperative follow-up results were compared between the two groups.Results:In the observation group,the intraoperative blood loss was less than that of the control group,the postoperative hospital stay was shorter than that of the control group,and the satisfaction rate of cosmetic effect was higher than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference in operation time,recurrence rate and incidence of pharyngeal discomfort between the two groups(P>0.05).Conclusion:Endoscopic assisted surgery for thyroid adenocarcinoma can achieve the same therapeutic effect as open surgery,and it can reduce the amount of bleeding,postoperative recovery is fast,incision is hidden,cosmetic effect is good,safety is good.
作者
林洪水
Lin Hongshui(The People's Hospital of Pingyuan County,Dezhou City,Shandong Dezhou 253100)
出处
《中国社区医师》
2021年第1期28-29,共2页
Chinese Community Doctors
关键词
甲状腺腺瘤
腔镜手术
甲状腺切除术
术后住院时间
术中出血量
并发症
Thyroid adenoma
Endoscopic surgery
Thyroidectomy
Postoperative hospital stay
Intraoperative blood loss
Complications
