摘要
目的分析经胸前皮肤切口内镜下甲状腺包块切除术的优缺点.方法回顾分析2002年12月～2005年4月实施的经胸前皮肤切口内镜下甲状腺包块切除术20例(内镜组)及随机抽取的同期甲状腺包块大小相当的常规手术20例(常规组)的临床资料,比较两组手术时间、出血量、术后住院日、费用、术后疼痛、并发症及美容效果.结果手术时间:内镜组(170.5±54.1)min,常规组(78.2±11.8)min,差异有显著性(t=7.687,P=0.000);出血量:内镜组(33.5±23.9)ml,常规组(47.0±20.7)ml,差异有显著性(t=-2.321,P=0.032);术后住院日:内镜组(6.5±0.8)d,常规组(6.0±0.7)d,差异有显著性(t=2.463,P=0.024);费用:内镜组(8117.3±593.0)元,常规组(4800.0±534.0)元,差异有显著性(t=18.850,P=0.000);内镜组发生1例候返神经损伤,术后疼痛、并发症两组间差异无显著性;内镜组美容效果好于常规组,差异有显著性(χ2=11.782,P=0.003).结论经胸前皮肤切口内镜下甲状腺包块切除术是可行的,虽然手术时间长、费用高,但具有美容效果好的优点,特别适合对美容有特殊要求的患者.
Objective To analyze the advantages and disadvantages of endoscopic excision of thyroid nodule via the anterior chest approach. Methods The clinical data of 20 cases of endoscopic excision of thyroid nodule via the anterior chest approach（ET） and 20 cases performed by conventional procedure （CT） from December 2002 to April 2005 were analyzed retrospectively. Operative time, bleeding during operation, days in hospital after operation, cost, postoperative pain, complications and cosmetic result between the 2 groups were compared. Results Operative time was 170.5±54. 1 minutes for ET group and 78.2±11.8 minutes for CT group （t=7. 687,P=0. 000）. Bleeding during operation was 33.5_＋23.9 ml for ET group and 47.0±20.7 ml for CT group（t=-2.321,P=0.032）. Days in hospital after operation was 6.5±0.8 for ETgroupand 6.0±0.7 for CT group （t=2.463,P= 0. 024）. Cost was 8117.3±593.0 yuan for ET group and 4800.0±534.0 yuan for CT group （t=18. 850,P：0. 000）. One recurrent palsy developed in ET group. No significant difference existed between 2 groups for postoperative pain and complications. For cosmetic results, ET group was better than CT group（x^2 = 11. 782,P=0. 003）. Conclusion Endoscopic excision of thyroid nodule via the anterior chest approach, is feasible and having the disadvantage of longer operative time and higher cost, it is of better cosmic result and particularly suitable for those who have special demand for cosmetic result.
出处
《重庆医学》
CAS
CSCD
2005年第11期1683-1684,共2页
Chongqing medicine
