腔镜手术与传统手术治疗甲状腺疾病的疗效比较

目的 比较胸乳入路腔镜甲状腺手术与传统手术治疗甲状腺疾病的临床疗效.方法 收集56例腔镜下甲状腺手术患者的临床资料,包括疾病一般情况、手术相关指标、术后并发症等,进行统计学分析,并与同期60例传统开放甲状腺手术进行比较.结果 腔镜组术中出血量明显少于传统组(16.8±9.6)ml与(24.9±14.2)ml,t=-2.427,P＜0.05],患者对手术美容效果满意率(96.4％)明显高于传统组(16.7％)(x2=74.508,P＜0.01)；两组手术时间、术后创面引流量、术后住院天数及术后患者皮肤淤斑、红肿、创面疼痛发生率差异均无统计学意义(均P ＞0.05).两组均无喉返神经、喉上神经、甲状旁腺损伤、无术后出血等严重并发症.结论 与传统手术相比,腔镜手术治疗甲状腺疾病具有出血少、切口小、美容满意度高等优点.

Comparative study on endoscopic thyroidectomy versus conventional thyroidectomy in thyroid disease

Objective The aim of this study was to evaluate and compare the surgical outcomes of endoscopic and conventional open thyroidectomies in patients with thyroid disease.Methods 116 patients with tyroid tumor were enrolled.56 patients underwent endoscopic thyroidectomy（endoscopic group）,and 60 patients underwent conventional open thyroidectomy（conventional group）.We analyzed the patients＇ clinic characteristics,surgical outcomes and complications between the two groups.Results The blood loss was less in the endoscopic group than the open group［（16.8±9.6）ml vs （24.9±14.2）ml,t=－2.427,P＜0.05］.The degree of satisfaction for cosmetic outcome in endoscopy group（96.4%） was higher than that in conventional group（16.7%）（χ2=74.508,P＜0.01）.There was no significant difference in the operating time,volume of drainage and postoperative hospital stay between two groups,and there was no significant difference in the skin ecchymosis,redness and swelling and postoperative pain between two groups（all P＞0.05）.No severe postoperative complication was encountered,such as injuries of the recurrent or superior laryngeal nerve,parathyroid gland injury or massive hemorrhage.Conclusion Endoscopic thyroidectomy has less blood loss,mini-open and excellent cosmetic benefits compared with conventional open thyroidectomy.