腔镜下甲状腺手术55例临床分析

目的：通过与传统的甲状腺手术的比较，探讨腔镜下甲状腺手术的优缺点。方法：将我院2007年7月-2011年月收治的160例患甲状腺疾病的患者中符合筛选条件的131例患者按照患者自愿的原则分为两组，腔镜组（55例）采用腔镜下甲状腺切除，对照组（76例）采用传统手术切除，对两组之间的手术时间、术中出血量、术后引流量、住院时间、住院费用和术后并发症及对美容效果的满意度方面进行比较。结果：腔镜手术组术中出血量为（38．78±17．40）ml，术后引流量为（54．29±22．92）ml；传统手术组术中出血量为（52．83±25．50）ml，术后引流量为（87．76±27．96）ml，两组比较。差异均有高度统计学意义（均P〈O．01）。腔镜手术组手术时间为（140．04±37．19）min，住院费用为（8659．54±580．46）元；传统手术组手术时间为（127．51±30．34）min，住院费用为（6830．76±279．65）元，两组比较，差异均有统计学意义（P〈0．05、P〈0．01）。腔镜手术组美容效果满意率为98．18％，传统手术组美容效果满意率为57．89％，腔镜手术组明显高于传统手术组。两组比较，差异有高度统计学意义（P〈0．01）；两组疼痛评分、住院天数、并发症发生率比较，差异无统计学意义（P〉0．05）。结论：腔镜手术组治疗费用略高于传统手术组，但是具有明显的美容优势且不会额外增加创伤，值得在特定人群中推广。

Clinical analysis of endoscopic thyroidectomy in 57 cases of patients

Objective： To explore the merit and demerit of endoscopic thyroidectomy by comparing with conventional thyroideetomy. Methods： 160 cases of patients suffered thyroid disease were treated in our hospital from July 2007 to January 2011, 131 patients who matched special conditions were divided into two groups according patient＇s will, the endoscopy group （55 cases） were treated with endoscopic thyroidectomy and the control group （76 cases） with conventional thyroidectomy, the length of operation, the amount of bleeding during operation, the amount of drainage, pain mark, the length of in hospital, satisfaction to cosmetology effect and so on were compared. Results： The amount of bleeding during operation of the endoscopy group was （38.78±17.40） ml and the control group was （52.83±25.50） ml, respectively; the volume of drainage of the endoscopy group was （54.29±22.92） ml and the control group was （87.76±27.96） ml, respectively; the endoscopy group was lower than that of the control group and there was a significant difference （P〈0.01）; the length of operation was （140.04±37.19） min of the endoscopy group and （127.51±30.34） min of the control group, respectively; the hospital charge was （8 659.54±580.46） yuan and （6 830.76±279.65） yuan, respectively; the endoscopy group was more than that of the control group, there was a significant difference between the two groups （P〈0.05 or P〈0.01）. And the rate of satisfaction of cosmetology effects of the endoscopy group was 98.18% higher than that of the control group （57.89%）, and there was a significant difference （/9〈0.01）. The pain mark was compared, the length in hospital and the recurrent rate of operative complication, there was no significant difference （P〉0.05）. Conclusion： The maintenance fee of the endoscopy group was higher than that of the control group, but patients feel more satisfied to the cosmetology efficacy and the operative technique is worth to be popularized in specific crowd.