摘要
目的:比较甲状腺良性肿瘤腔镜辅助颈部小切口手术和传统甲状腺手术的差别,探讨腔镜辅助颈部小切口手术的可行性和实用性。方法:2009年1月—2010年4月南京军区福州总医院普通外科收治的甲状腺良性肿瘤患者117例,随机分为两组,其中治疗组63例,行腔镜辅助颈部小切口手术;对照组54例,行传统开放性手术。比较两组手术时间、术中出血量、住院时间、术后并发症发生率、术后1年复发率及美容效果评价。结果:两组患者手术均获成功。手术时间治疗组为47.12±11.21 min,显著高于对照组39.53±12.32 min;术中出血量治疗组为9.52±4.63 mL,显著低于对照组25.21±7.64 mL;术后并发症发生率治疗组为3.17%,显著低于对照组14.81%;术后住院时间治疗组为3.32±0.81 d,显著低于对照组4.24±0.72 d。术后1年复发率治疗组为3.17%,对照组为3.70%,差异无统计学意义(P>0.05)。术后1年治疗组患者均对切口瘢痕满意,对照组有25例患者对切口瘢痕不满意。结论:甲状腺良性肿瘤腔镜辅助颈部小切口手术安全可行,与传统手术相比具有较佳的美容效果。
Objective： To compare the differences between endoscopic-assisted mini-incision thyroidectomy and traditional thyroidectomy,and explore the feasibility and efficacy of endoscopic-assisted thyroidectomy.Methods： From January 2009 to April 2010,117 patients with benign thyroid were prospectively assigned into endoscopic-assisted thyroidectomy group（the study group,n=63） and traditional thyroidectomy group（the control group,n=54）.The operation time,hemorrhage volume,postoperative hospital stay,postoperative complication,postoperative recurrent rate and evaluation of cosmetic results were compared between the two groups respectively.Results： The operating time of operation in the study group was longer than that in the control group（47.12±11.21 min vs 39.53±12.32 min,P0.05）.The volume of hemorrhage during operation was was less than that in the control group（9.52±4.63 ml vs 25.21±7.64 ml,P0.05）.The length of postoperative hospital stay and the rate of postoperative complication were lower than that in the control group（3.32±0.81 d vs 4.24±0.72 d,P0.05;3.17% vs 14.81%,respectively）.The recurrent rate between the both groups had no difference（P0.05）.All patients the study group were satisfied with the cosmetic results,but 25 patients in the the control group complained of unsatisfactory cosmetic（P0.05）.Conclusions： The endoscopic-assisted mini-incision thyroidectomy is feasibility,efficacy and with the advantage of cosmetic results.
出处
《中国现代普通外科进展》
CAS
2011年第9期723-725,共3页
Chinese Journal of Current Advances in General Surgery
关键词
甲状腺肿瘤
良性
外科治疗
腔镜
小切口
Thyroid neoplasma
benign·Surgery treatment·Endoscopic·Mini-incision
