| 内镜甲状腺切除术与传统开放甲状腺切除术的对照研究 |
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| 引用本文： | 赵霞,朱斌,路夷平,宫轲,王桐生,张东东,张能维. 内镜甲状腺切除术与传统开放甲状腺切除术的对照研究[J]. 重庆医学, 2011, 40(16). DOI: 10.3969/j.issn.1671-8348.2011.16.005 |
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| 作者姓名： | 赵霞 朱斌 路夷平 宫轲 王桐生 张东东 张能维 |
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| 作者单位： | 北京世纪坛医院普通外科,100038 |
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| 摘 要： | 目的 探讨内镜甲状腺切除术的可行性和安全性.方法 回顾性分析156例甲状腺切除术,按手术方式分为内镜组(内镜甲状腺切除术,n=76)和传统组(传统开放甲状腺切除术,n=80).比较两组的临床治疗效果.结果 156例甲状腺切除术均获成功,两组患者的术后住院时间、切口引流量及术后对镇痛的需求等无显著差异.与传统组比较,内镜组术中出血量明显降低(P＜0.05),手术持续时间明显延长(P＜0.05);住院费用显著增加(P＜0.05);患者对手术美容效果满意度明显提高(P＜0.05).两组均未发生术后大出血,喉返神经、喉上神经及甲状旁腺损伤等并发症.术后随访6个月,内镜组复发1例(1.32%),传统组复发2例(2.5%),复发病例病理检查结果均为结节性甲状腺肿.结论 内镜甲状腺切除术具有切口小、出血少及美容满意度高等优点,是可行而安全的手术方法.
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| 关 键 词： | 外科手术,微创性 病例对照研究 内镜甲状腺切除术 开放甲状腺切除术 |
A case-control study of endoscopic thyroidectomy and traditional open thyroidectomy |
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| Zhao Xia,Zu Bin,Lu Yiping,Gong Ke,Wang Tongsheng,Zhang Dongdong,Zhang Nengwei. A case-control study of endoscopic thyroidectomy and traditional open thyroidectomy[J]. Chongqing Medical Journal, 2011, 40(16). DOI: 10.3969/j.issn.1671-8348.2011.16.005 |
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| Authors: | Zhao Xia Zu Bin Lu Yiping Gong Ke Wang Tongsheng Zhang Dongdong Zhang Nengwei |
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| Affiliation: | Zhao Xia,Zu Bin,Lu Yiping,Gong Ke,Wang Tongsheng,Zhang Dongdong,Zhang Nengwei(Department of General Surgery,Beijing Shijitan Hospital,Beijing 100038,China) |
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| Abstract: | Objective To explore the feasibility and safety of endoscopic thyroidectomy.Methods Retrospective analysis was conducted on 156 cases of thyroidectomy which were divided into endoscopic group(endoscopic thyroidectomy,n=76) and traditional group(traditional open thyroidectomy,n=80) according to different surgical approaches.Therapeutic effects were compared between the two groups.Results Thyroidectomy was successfully performed in 156 cases.No significantly differences were found in length of hospital stay,v... |
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| Keywords: | surgical procedures minimally invasive case-control studies endoscopic thyroidectomy open thyroidectomy |
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