摘要
目的探讨全乳晕入路腔镜下甲状腺癌根治术的疗效及安全性。方法选择80例甲状腺乳头状癌患者,40例行全乳晕入路腔镜下甲状腺癌根治术的患者为研究组;40例行常规开放甲状腺癌根治术的患者为对照组。比较两组手术及术后相关指标,以及两组术前1 d、术后1 d、术后3 d化。结果与对照组比较,研究组手术时间和中央组淋巴结清扫时间长,住院治疗总费用高,术中出血量和术后引流量少,分别=20.52、16.88、16.97、17.65、22.65、27.35、18.38、8.91,P均<0.05)。研究组术后不良反应和并发症总发生率明显低于对照组,差异有统计学意义(χ~2=9.45,P<0.05)。研究组术后1 d和3 d时的WBC、CRP、IL-6水平均明显低于对照组,差异均有统计学意义(t分别=5.32、7.13、8.01、6.34、7.86、8.97,P均<0.05)。结论全乳晕入路腔镜下甲状腺癌根治术具有切口小、术中出血少、住院时间短、术后并发症发生率低、术后对机体炎症反应影响小等优势。
Objective To explore the clinical effect and safety of endoscopic thyroidectomy via breast approach. Methods A total of 80 cases with thyroid papillary carcinoma were selected.Totally 40 patients who underwent endoscopic thyroidectomy via breast approach were selected as study group,40 patients underwent open thyroid cancer radical surgery were selected as the control group.The postoperative parameters,the levels of WBC,CRP and IL-6 in the peripheral blood one day before operative,one day and three days after operative were compared. Results Compared to the control group,the operation time and the central lymph node dissection time of the study group were longer,the total hospitalization costs was more,the intraoperative blood loss and postoperative drainage volume were less,the incision length and hospital stay time were shorter,and 24 h VAS score was lower(t =20.52,16.88,16.97,17.65,22.65,27.35,18.38,8.91,P<0.05).The total incidence of postoperative adverse reactions and complications of study group was significantly lower than that of the control group(χ~2=9.45,P<0.05).The levels of WBC,CRP and IL-6 in the peripheral blood one day and three days after operative of study group were significantly lower than those of the control group(t =5.32,7.13,8.01,6.34,7.86,8.97,P<0.05). Conclusion Endoscopic thyroidectomy via breast approach has the advantages of shorter incision,less bleeding,shorter hospital stay time,lower complication rate,and less effect on the body’s inflammatory response.
作者
夏恒
陈江
邱海江
XIA Heng;CHEN Jiang;QIU Haijiang(Department of General Surgery,Shaoxing Central Hospital,Shaoxing 312000,China)
出处
《全科医学临床与教育》
2019年第3期232-235,共4页
Clinical Education of General Practice
基金
绍兴市柯桥区社发类经费自筹科技计划项目(2017KZ037)
