摘要
目的:探讨经乳晕双孔双通道腔镜甲状腺手术的可行性和疗效。方法:按病人意愿,前瞻性地将30例单侧甲状腺肿瘤病人配对分为两组,腔镜组和传统组各15例。对两组的手术时间、肿瘤大小、标本重量、术后疼痛评分、并发症、血清C反应蛋白变化水平、术后住院时间、术后美容效果等进行对比研究。结果:30例手术均获成功。两组间年龄、肿块直径、切除标本重量和术后住院时间,无统计学差异。腔镜组术后视觉模拟疼痛评分和血清C反应蛋白值与传统组间无统计学差异。腔镜组手术时间较传统组为长。术后3个月随访,腔镜组对美容效果满意15例,满意率100%;传统组满意12例,不满意3例,满意率80%。腔镜组有颈部感觉减退1例;传统组有颈部感觉减退和吞咽不适感各3例。结论:经乳晕双孔双通道腔镜甲状腺手术是一种安全可行、创伤不大、疼痛较轻、美容效果极佳的手术方式。
Objective To investigate the feasibility and the safety of endoscopic thyroidectomy via the bilateral-nipple approach by dual channels.Methods Endoscopic and conventional open thyroidectomy were performed in 15 patients each group.Operative time,size of the tumor,weight of the surgical specimens,VAS,complication,CRP,time of postoperative stay,cosmetic results were compared.Results There were no complications in all patients.There were no significantly difference in age,size of the tumor,weight of the surgical specimens,CRP,time of postoperative stay,VAS and CRP between the 2 groups.The mean operative time for the endoscopic procedure was significantly longer than for open surgery.Three months later,the rate of satisfaction with the cosmetic effects of the procedures were 100% in the endoscopic thyroidectomy and 80% in conventional open thyroidectomy groups.One patient experienced hypoesthesia in the endoscopic thyroidectomy group.Hypoesthesia and swallowing discomfort occurred in 3 patients respectively in the open thyroidectomy group.Conclusions Endoscopic thyroidectomy via the bilateral-nipple approach by dual channels for patients with benign uni-lateral thyroid tumor was a feasible and safe procedure,with excellent cosmetic benefits.
出处
《外科理论与实践》
2011年第5期491-495,共5页
Journal of Surgery Concepts & Practice
