腔镜辅助微创手术治疗甲状腺良性肿瘤

目的：探讨腔镜辅助小切口甲状腺良性肿瘤手术的微创及美容的临床价值。方法：2009年9月至2010年10月,我院住院的218例甲状腺结节患者,分为腔镜辅助微创手术组109例,传统手术组109例作为对照组。结果：218例手术均顺利完成,手术时间两组无明显差异（P〉0.05）。术中出血微创组少于传统组（P〈0.01）。术后引流量微创组明显少于对照组（P〈0.01）,美容满意度微创组明显优于传统组（P〈0.01）。无并发症发生。病理结果均为良性病变,病理报恶性者改变术式,不在统计范围。结论：对于大多数良性甲状腺疾病,腔镜辅助小切口甲状腺手术是一种创伤小、有一定美容效果、病人易于接受的手术治疗方法。

Minimal incisive surgery with endoscope-assistant for thyroid benign tumor

Objective： To explore the clinical value of minimal incision and cosmetic outcome by minimal incisive surgery with endoscope-assistant for thyroid benign tumor.Methods： From September 2009 to October 2010,218 patients with thyroid nodule from were selected and divided into two groups,109 patients were treated with minimal incisive surgery with endoscope-assistant,and the other 109 patients were treated with traditional surgery as the control group.Results： All of the operations were completed successfully.There was no statistical difference in operation time（P〈0.05）.Peri-operative blood loss in minimal incision group was less than traditional group（P〈0.01）.The post-operative drainage in minimal incision group was significantly less than control group（P〈0.01） and the cosmetic outcome in minimal incision group was more satisfied than traditional group（P〈0.01）.There were no complications.All the pathological results were benign and the malignant cases were not included.Conclusion： To majority of thyroid benign tumor,minimal incisive surgery with endoscope-assistant is a minimal invasive procedure,with cosmetic outcome and easily accepted by patients.