经乳晕入路腔镜良性甲状腺瘤切除术与开放手术的对比研究

目的:探讨经乳晕入路腔镜甲状腺切除术治疗良性甲状腺肿瘤的临床效果及优缺点。方法:回顾分析82例经乳晕入路腔镜甲状腺手术的临床资料,并与95例开放甲状腺手术进行对比,观察两组患者手术时间、失血量、并发症、术后引流管留置时间及引流量、术后C-反应蛋白、术后美容满意度评分、住院时间等。结果:两组患者手术时间、并发症、术后引流管留置时间、术后C反应蛋白、住院时间、复发率差异无统计学意义;腔镜组失血量明显少于开放组,引流量明显多于开放组,术后美容满意度评分明显优于开放组,差异有统计学意义(P<0.05)。结论:与传统开放手术相比,腔镜良性甲状腺瘤切除术具有微创、出血少、美容等优势,是较好的选择。

The comparative study of endoscopic surgery via the areola of breast approach and open surgery for benign thyroid tumors

Objective：To investigate the clinical efficiency,advantages and disadvantages of endoscopic thyroidectomy by areola of breast approach with conventional open thyroideetomy in patients with benign thyroid tumors. Methods：Eighty-two patients underwent endoscopic thyroidectomy by areola of breast approach （endoscopic group） ,95 patients underwent conventional open thyroidectomy （open group）. Clinical data of the two groups such as operation time,blood loss,intraoperative and postoperative complications,the time drainage drainage volume, postoperative C-reactive protein, the postoperative cosmetic score and hospital stay were compared. Results： There was no significant differences in operative time,intraoperative and postoperative eomplieations,time of drainage,postoperative C- reactive protein,hospital stay,recurrence between the two groups. As compared with the open group, endoscopic group had less blood loss, superior cosmetic scores, but more volume of drainage. Conclusions ： Compared with conventional surgery, endoscopic thyroidecto- my is minimally invaslve,has less blood loss, superior cometic scores, and is worthy of being widely applied for patients of benign thyroid tumors.