摘要
目的比较经口腔前庭腔镜下甲状腺切除手术(TOVET)与传统经颈部开放甲状腺切除手术(COT)的临床效果及卫生经济学。方法回顾性分析2016年7月-2018年7月陆军军医大学大坪医院野战外科研究所乳腺甲状腺外科收治的80例甲状腺肿瘤患者的临床资料,分别采用COT和TOVET治疗,观察分析两组患者性别、年龄、肿瘤位置、TI-RADS分级等一般资料,以及手术时间、是否放置引流管、术后总引流量、引流管放置时间、疼痛评分、住院时间和住院费用等指标。结果两组患者性别、年龄、TI-RADS分级差异有统计学意义(均P<0.05)。TOVET组的手术时间明显长于COT组,而在是否放置引流管、术后引流量、拔除引流管时间、疼痛评分和住院天数方面明显优于COT组,差异有统计学意义(均P<0.05),但在住院费用方面,两组差异无统计学意义(P>0.05)。结论年轻女性更倾向于选择TOVET,TOVET在术后患者住院管理、疼痛评分和住院天数方面优于COT,且不会明显增加患者的住院费用,手术安全可行,术后美容效果好,值得推广应用。
Objective To compare the clinical effiicacy and health economics between the transoral-vestibule endoscopic thyroidectomy(TOVET)and conventional open thyroidectomy(COT).Methods The clinical data of 80 patients with thyroid tumors underwent COT and TOVET from July 2016 to July 2018 were retrospectively collected.General data such as gender,age,tumor location,TI-RADS grading,as well as operative time,drainage tube,total postoperative drainage volume,drainage tube placement time,pain score,hospitalization time,and hospitalization expenses were observed and analyzed.Results There were significant differences in gender,age,and TI-RADS grading between the two groups(all P<0.05).The TOVET group had a slightly longer operative time than the COT group,and was superior in whether or not to place the drainage tube,postoperative drainage volume,drainage tube placement time,pain score,and hospitalization time.There was a statistically significant difference between the two groups(all P<0.05),but there was no significant difference in hospitalization costs between the two groups(P>0.05).Conclusion Young women prefer to choose TOVET,which is superior to COT in postoperative patient management,pain score,and hospitalization time,and does not significantly increase the patient’s hospitalization costs.It is safe and feasible,and produces an outstanding cosmetic effect.It is worthy of promotion and application.
作者
余富杰
赵大威
徐琰
Fu-jie Yu;Da-wei Zhao;Yan Xu(Department of Breast and Thyroid Surgery,Institute of Surgery Research of Daping Hospital,Army Medical University,Chongqing 400042,China;Department of Neurosurgery,Southwest Hospital,Army Medical University,Chongqing 400038,China)
出处
《中国内镜杂志》
2020年第4期60-66,共7页
China Journal of Endoscopy
关键词
甲状腺肿瘤
经口腔前庭腔镜下甲状腺切除术
卫生经济学
住院费用
比较研究
thyroid tumor
transoral-vestibule endoscopic thyroidectomy(TOVET)
health economics
hospitalization expenses
comparison study
