经口腔前庭入路腔镜与开放甲状腺切除术的临床研究

目的对比研究经口腔前庭入路腔镜甲状腺与开放甲状腺切除术的临床疗效。方法回顾性分析2016年3月至2017年6月在咸阳市第一人民医院就诊的68例甲状腺切除术临床资料。根据患者意愿,将患者分为经口腔前庭腔镜甲状腺组(观察组,32例)及开放甲状腺切除组(对照组,36例),对比分析两组手术时间、术中出血量、术后引流量、住院时间、甲状旁腺激素水平及美观满意度。结果两组术中出血量、住院时间、术后引流量、甲状旁腺激素水平无统计学差异,观察组的患者美观满意度明显高于对照组(P=0.035),但手术时间较对照组延长(P=0.015)。结论经口腔前庭入路腔镜甲状腺切除与开放甲状腺切除相比手术时间延长,但一样安全可靠,未增加手术风险,更符合年轻女性的美容要求,术后恢复快。

The clinical research of transoral endoscopic vestibular approach thyroidectomy and open thyroidectomy for thyroid disease

Objective To compare the clinical efficacy between endoscopic thyroidectomy via vestibular approach and open thyroidectomy. Methods The clinical data of 68 cases of thyroidectomy from March 2016 to June 2017 were retrospectively analyzed in the First People′s Hospital of Xianyang. The patients were assigned to transoral thyroidectomy group（observation group，32 cases）and open thyroidectomy group （Control group，36 cases）. The operative time，intraoperative blood loss，postoperative drainage，hospital stay，parathyroid hormone level and aesthetic satisfaction were compared between the two groups. Results There was no significant difference between the two groups in the amount of blood loss，length of hospital stay，postoperative drainage，and parathyroid hormone levels. The operative time was and the aesthetic satisfaction were statistical significance（P=0.035，P=0.015，respectively）. Conclusion Endoscopic thyroidectomy via transoral approach is safe and reliable，which does not increase the surgical risk. It is more in line with the cosmetic requirements of young woman and has a quick recovery after operation.