摘要
目的探讨腔镜甲状腺手术中经全乳晕入路和胸乳入路的临床效果。方法选取2014年2月~2016年12月在我院行腔镜甲状腺手术治疗的60例患者作为研究对象,按照随机数字表法分为两组,每组各30例。对照组予以胸乳入路腔镜术,研究组予以完全乳晕入路腔镜术。比较两组患者的术中出血量、手术时间、术后引流总量、引流时间、术后持续性疼痛时间、恢复进食时间、术后住院时间、住院费用、切口美容效果满意情况以及皮下积液、一过性声嘶、创面血肿、皮下气肿、颈部感觉异常、吞咽不适等并发症发生情况。结果两组患者的术中出血量、手术时间、术后引流总量、引流时间、术后持续性疼痛时间、恢复进食时间、术后住院时间以及住院费用比较,差异无统计学意义(P>0.05);两组患者皮下积液、一过性声嘶、创面血肿、皮下气肿、颈部感觉异常、吞咽不适等并发症发生率比较,差异无统计学意义(P>0.05);研究组患者的切口美容效果总满意度(100.00%)高于对照组(80.00%),差异有统计学意义(P<0.05)。结论完全乳晕入路腔镜术和胸乳入路腔镜术的临床治疗效果及安全性基本相似,但完全乳晕入路腔镜术具有更高的切口美容效果。
Objective To investigate the clinical effects of total areolar approach and chest/breast approach during endoscopic thyroidectomy.Methods From February 2014 to December 2016,60 patients underwent endoscopic thyroid surgery in our hospital were selected as the subjects,and divided into two groups by random number table method,with30 cases in each group.Patients in control group performed with endoscopic surgery via chest/breast approach,and patients in research group performed with total areolar approach.The intraoperative amount of bleeding,operation time,postoperative total volume of drainage,drainage time,postoperative persistent pain time,time to take food again,postoperative hospital stay,hospitalization costs,satisfaction on incision beauty,and incidence of complications including subcutaneous effusion,transient hoarseness,wound hematoma,subcutaneous emphysema,neck paresthesia,and swallowing discomfort were compared between the two groups.Results The intraoperative amount of bleeding,operation time,postoperative drainage,drainage time,pain duration after surgery,time to take food again,postoperative hospital stay,and hospitalization expenses between the two groups were not displayed statistical differences（P〈0.05）.There was no statistical difference in the incidence of complications like subcutaneous effusion,transient hoarseness,wound hematoma,subcutaneous emphysema,neck paresthesia,and swallowing discomfort and so forth（P〈0.05）.The total satisfaction on incision beauty in the research group（100.00%） was higher than that in the control group（80.00%）（P〈0.05）.Conclusion The clinical efficacy and safety of endoscopic thyroidectomy via total areolar approach and chest/breast approach are similar,but the former has a better cosmetic effect.
作者
王超
李晓辉
张建
陈洽铭
王锦祥
庞珊
WANG Chao;LI Xiao-hui;ZHANG Jian;CHEN Qia-ming;WANG Jin-xiang;PANG Shan(Department of the Forth Surgery（Thyroid Surgery Center）,People＇s Hospital of Puning City in Guangdong Province,Puning 515300,China)
出处
《中国当代医药》
2018年第19期39-41,共3页
China Modern Medicine
关键词
腔镜
甲状腺手术
胸乳入路
完全乳晕入路
Endoscope
Thyroid surgery
Chest/breast approach
Total areola approach
