摘要
目的 研究分化型甲状腺癌(DTC)患者行腔镜辅助甲状腺切除术治疗的效果。方法 数据遴选本医院2020年1月~2021年8月收治的60例DTC患者,“随机数字表法”分传统组(传统开放甲状腺切除术,n=30)、腔镜组(腔镜辅助甲状腺切除术,n=30),2组手术效果比较。结果 术前比较2组甲状腺功能无差异,P>0.05;术后与传统组比较,腔镜组T3、T4、FT3、FT4指标更低;IL-6、TNF-α、CRP指标更低;手术时间稍长,术中出血量、术后引流量更少,住院时间更短;腔镜组并发症率(6.67%)低于传统组(26.67%),χ^(2)=4.320,P=0.038,P<0.05(具有统计学意义)。结论 腔镜辅助甲状腺切除术治疗DTC患者可改善甲状腺功能、降低炎症反应,缩短疗程、降低并发症风险,值得推崇。
Objective To study the effect of endoscopic assisted thyroidectomy in patients with differentiated thyroid cancer (DTC).Methods 60 patients with DTC treated in our hospital from January 2020 to August 2021 were randomly divided into traditional group (traditional open thyroidectomy,n=3 0) and endoscopic group (endoscopic assisted thyroidectomy,n=30).Results There was no difference in thyroid function between the two groups before operation (P > 0.05);The indexes of T3,T4,FT3 and FT4 in endoscopic group were lower than those in traditional group;IL-6、TNF-α、 CRP index is lower;The operation time was longer,the amount of intraoperative bleeding and postoperative drainage were less,and the hospital stay was shorter;The complication rate of endoscopic group (6.67%) was lower than that of traditional group (26.67%),χ^(2)=4.320,P=0.038,P < 0.05 (statistically significant).Conclusion Endoscopic assisted thyroidectomy in the treatment of DTC patients can improve thyroid function,reduce inflammatory response,shorten the course of treatment and reduce the risk of complications.
作者
郑强
李帅
Zheng Qiang;Li Shuai(Department of General Surgery,Yuncheng County People’s Hospital,Heze,Shandong 274700)
出处
《中国医学文摘（耳鼻咽喉科学）》
2022年第4期16-19,共4页
Chinese Medical Digest(Otorhinolaryngology)
关键词
分化型甲状腺癌
腔镜辅助甲状腺切除术
临床疗效
并发症
Differentiating thyroid cancer
Endoscopic-assisted thyroidectomy
Clinical efficacy
Complications
