摘要
目的总结腹腔镜甲状腺次全切除术的治疗经验。方法81例结节性甲状腺肿患者,征得患者及家属同意分别采用腔镜手术(腔镜组,n=38)和常规手术(对照组,n=43)。比较两组平均手术时间、术中出血量、术后引流量、患者对切口的满意度、术后并发症及不良反应等。结果两组平均手术时间分别为(90.1±11.5)min与(112.9±13.4)min(P<0.01);术中出血量分别为(30.3±9.8)ml与(50.8±10.6)ml(P<0.01);术后平均引流量分别为(85.1±26.3)ml与(47.5±21.4)ml(P<0.05)。腔镜组1例术后发生皮下积液,经穿刺抽液后治愈;对照组术后低钙抽搐1例,均经对症治愈出院,两组术后均未发生不良反应。随访6-24个月,两组患者均未见复发。结论腔镜甲状腺手术安全,美容效果好,与传统手术相比具有明显优势。
Objective To summarize the experience of subtotal thyroidectomy under laparoseopy for nodular goiter. Methods Eightyone cases of nodular goiter were divided into two groups according to the operation method： laparoscopic operation group（ n = 38 ）and traditional operation group（ n = 43 ）. Operation time, blood loss, drainage, postoperative complications and adverse reaction were com- pared between 2 groups. Results The operation time was （90.1 ±11.5 ） min and （ 112.9 ± 13.4） min in laparoscopic operation group and traditional operation group （P 〈 0. O1 ） ;the blood loss was （30.3± 9.8 ）ml and （50.8 ± 10.6 ）ml （P 〈 0. O1 ） ;the drainage flow was （ 85.1 ± 26.3 ） ml and （47.5 ± 21.4 ） ml （ P 〈 0.05 ）. Subcutaneous hydrops happened in 1 case in laparoscopic operation group, while convulsion happened in 1 case in traditional operation group. No other complications and adverse reaction were found in 2 groups. No case recurred after followed-up for 12 -30 months. Conclusion Subtotal thyroidectomy under laparoscopy is a safe way for nodular goiter with good cosmetic value.
出处
《山西医科大学学报》
CAS
2010年第1期63-65,共3页
Journal of Shanxi Medical University
