摘要
目的 探讨甲状腺良恶性结节患者应用经胸乳入路微创腔镜手术治疗的效果。方法 100例甲状腺良恶性结节患者,按照随机抽签法分为对照组及观察组,各50例。对照组采取传统开放手术治疗,观察组行经胸乳入路微创腔镜手术治疗。比较两组手术指标、术后恢复指标及并发症发生率。结果 观察组手术时间(94.42±12.25)min长于对照组的(75.54±10.06)min,术中出血量(30.02±8.78)ml少于对照组的(51.42±11.06)ml,切口长度(2.28±0.26)cm短于对照组的(7.02±1.02)cm,差异具有统计学意义(P<0.05)。观察组术后引流量(40.84±12.28)ml少于对照组的(60.08±15.32)ml,术后24 h视觉模拟评分法(VAS)评分(3.23±0.74)分低于对照组的(5.25±1.12)分,拔管时间(26.62±4.11)h、术后颈部恢复活动时间(1.18±0.20)d、拆线时间(4.46±0.62)d、住院时间(4.84±0.86)d短于对照组的(38.52±7.65)h、(1.90±0.27)d、(5.72±0.84)d、(7.22±0.98)d,差异具有统计学意义(P<0.05)。观察组并发症发生率6.00%显著低于对照组的20.00%,差异具有统计学意义(P<0.05)。结论 针对甲状腺良恶性结节患者采取经胸乳入路微创腔镜手术治疗可确保充分切除病灶,减少手术创伤及出血量,术后恢复速度快,减轻疼痛程度,而且并发症少,安全性高,值得推广应用。
Objective To discuss the effect of minimally invasive endoscopic surgery via transthoracic approach for patients with benign and malignant thyroid nodules.Methods A total of 100 patients with benign and malignant thyroid nodules were randomly divided into control group and observation group,with 50 cases in each group.The control group was treated with conventional open surgery,and the observation group was treated with minimally invasive laparoscopic surgery via transthoracic approach.The surgical indicators,postoperative recovery indicators and the incidence of complications were compared between the two groups.Results The operation time(94.42±12.25)min of the observation group was longer than(75.54±10.06)min of the control group;the intraoperative blood loss(30.02±8.78)ml of the observation group was less than(51.42±11.06)ml of the control group;the incision length(2.28±0.26)cm of the observation group was shorter than(7.02±1.02)cm of the control group;the differences were all statistically significant(P<0.05).The postoperative drainage volume(40.84±12.28)ml of the observation group was less than(60.08±15.32)ml of the control group;the visual analogue scale(VAS)score at 24 h after surgery(3.23±0.74)points of the observation group was lower than(5.25±1.12)points of the control group;the extubation time(26.62±4.11)h,postoperative neck recovery time(1.18±0.20)d,suture removal time(4.46±0.62)d,and hospital stay(4.84±0.86)d of the observation group were shorter than(38.52±7.65)h,(1.90±0.27)d,(5.72±0.84)d,and(7.22±0.98)d of the control group;the differences were all statistically significant(P<0.05).The incidence of complications in the observation group was 6.00%,which was significantly lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with benign and malignant thyroid nodules,the minimally invasive endoscopic surgery via transthoracic approach can ensure adequate resection of the lesion,reduce surgical trauma and blood loss,redu
作者
马福军
MA Fu-jun(Emergency Department,Chaoyang Second Hospital,Chaoyang 122000,China)
出处
《中国现代药物应用》
2022年第19期49-51,共3页
Chinese Journal of Modern Drug Application
关键词
甲状腺良恶性结节
胸乳入路
微创腔镜手术
并发症
疼痛程度
出血量
Benign and malignant thyroid nodules
Transthoracic approach
Minimally invasive endoscopic surgery
Complications
Pain degree
Blood loss
