摘要
目的:比较免充气与充气经口腔前庭入路腔镜甲状腺手术在甲状腺乳头状癌中的临床疗效。方法:收集2021年7月~2023年12月在柳州市工人医院住院行经口腔前庭入路腔镜下甲状腺癌根治术的60例女性患者的临床资料,根据手术方式的不同将其分为免充气经口腔前庭入路腔镜甲状腺癌根治术(观察组)30例,充气经口腔前庭入路腔镜甲状腺癌根治术(对照组)30例,将两组患者围手术期相关指标及术后并发症进行对比分析。结果:两组患者均顺利完成手术,未出现中转开放手术情况,未发生CO_(2)气体栓塞。两组术中出血量、CO_(2)分压差异无统计学意义(P>0.05)。观察组术中擦镜头次数(11.83±3.73)次少于对照组的(22.23±2.80)次;同时观察组手术时间(135.57±14.42)h少于对照组的(147.47±25.95)h,差异具有统计学意义(P<0.05)。两组术后均未出现切口感染及出血。两组术后声音嘶哑、饮水呛咳、下颏麻木等差异均无统计学意义(P>0.05)。结论:免充气经口腔前庭入路腔镜手术治疗甲状腺癌安全可行,具有较好临床应用前景。
Objective:To compare the efficacy of gasless and gas transoral endoscopic surgery for the treatment of papillary thyroid cancer.Methods:Collect clinical data of 60 female patients admitted to Liuzhou Workers Hospital from July 2021 to December 2023 who underwent transoral endoscopic thyroidectomy vestibular approach for thyroid cancer.According to the different surgical methods,they were divided into an observation group of 30 cases of gasless ransoral endoscopic thyroidectomy vestibular and a control group of 30 cases of gas ransoral endoscopic thyroidectomy vestibular.The perioperative indicators and postoperative complications of the two groups of patients were compared and analyzed.Results:All patients in both groups successfully completed the surgery without any conversion to open surgery,and no CO_(2) gas embolism occurred.There was no statistically significant difference in intraoperative blood loss and CO_(2) partial pressure between the two groups(P>0.05).The number of intraoperative lens erasures in the observation group(11.83±3.73)was lower than that in the control group(22.23±2.80);The surgical time in the observation group(135.57±14.42)was shorter than that in the control group(147.47±25.95),and the difference was statistically significant(P<0.05).Both groups did not experience incision infection or bleeding after surgery.There was no statistically significant difference(P>0.05)between the two groups in terms of postoperative hoarseness,coughing after drinking water,and chin numbness.Conclusion:Gasless transoral endoscopic surgery for thyroid cancer is safe,reliable,and has good application prospects.
作者
蒋汉城
陈柱
罗永茂
肖智
杜金鹏
罗丁文
JIANG Han-cheng;CHEN Zhu;LUO Yong-mao;XIAO Zhi;DU Jin-peng;LUO Ding-wen(General Surgery Ward 5(Thyroid)of Liuzhou Workers Hospital,Guangxi Liuzhou 545005)
出处
《中国医疗器械信息》
2024年第10期20-23,共4页
China Medical Device Information
基金
广西壮族自治区卫生健康委员会自筹课题(项目名称:完全免充气+悬吊经口腔前庭入路腔镜手术在甲状腺癌手术中的临床研究,项目编号:Z20210898)。
关键词
免充气
经口腔镜手术
甲状腺乳头状癌
gasless
transoral endoscopic surgery
papillary thyroid carcinoma
