摘要
目的对腔镜手术和开放甲状腺手术治疗甲状腺疾病的临床效果进行对比研究。方法回顾性分析113例腔镜甲状腺切除术(腔镜组)和104例开放甲状腺切除术(开放组)患者的临床资料,比较两组的手术时间、出血量、引流量、住院时间、术后住院时间、术后恢复活动时间、术后镇痛药的需求、术后并发症、住院费用等。结果两组的手术时间、住院时间、术后住院时间差异没有显著性;腔镜组的出血量(42.5±62.7)mL明显少于开放组(118.2±120.8)mL,差异有显著性(t'=5.183,P<0.05);而腔镜组引流量(84.9±76.11)mL比开放组(44.04±38.72)mL多(P<0.05);腔镜组术后恢复活动时间为(2.2±0.9)d,与开放组(2.5±1.1)d比较差异无显著性(t'=1.845,P=0.06);腔镜组术后镇痛药需求比开放组明显减少,而住院费用腔镜组高于开放组;腔镜组术后并发症以喉上和喉返神经损伤为主,而开放组主要是出血。结论腔镜甲状腺手术是一种安全、可行的方法,具有美容、疼痛轻和出血少的优点。
[Objective] To compare the clinical efficency of endoscopic thyroideetomy by breast approach with conventional open thyroidectomy in a prospective study. [Methods] One hundred and thirteen patients were undergone endoscopic thyroidectomy （group endoscopy）; One hundred and four patients were undergone conventional open thyroidectomy （group open）. Operative time, blood loss,the volum of drainage, time of stay and postoperative stay, postoperative complications and analgesic ＂requirements, time taken to return to normal activity and total fee were compared. [Results] There were no significantly differences in operative time （including frozen section sampling）, time of stay and postoperation stay. Blood loss was significantly less in group endoscopy （42.5±62.7） mL than in group open （118.2±120.8） mL （P 〈0.05）, but the volum of drainage in group endoscopy were more than that in group open （84.9±76.11） mL vs （44.04±38.72） mL （P 〈0.05）, Time return to normal activity were （2.2±0.9） d in group endoscopy and （2.5±1.1） d in group open （P =0.06）. The analgesic requirements were less in group endoscopy than that in group open. but it costs more than conventional surgery. The most postoperative complications were hum of superiot or recurrent laryngeal nerve paralysis, hemorrhage were the most postoperative complications in group open. [Conclusion] Compared with conventional surgery, endoscopic thyroidectomy for thyroid dieases was a feasible, practical and safe procedure, with excellent cosmetic benefits, less blood loss and less pain.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第1期9-12,共4页
China Journal of Endoscopy
