颈前无气腔室内镜下甲状腺手术与传统手术的疗效对比研究

目的：对比研究小切口内窥镜下微创甲状腺手术与传统手术的疗效.方法：研究组54例采用小切口无气腔室内镜下甲状腺部分切除术;对照组54例甲状腺部分切除术.比较两组术中出血量、住院天数、切口长度、切口疼痛程度、术后并发症、颈部外观炎性肿胀等指标.结果：研究组术中出血量、住院天数、切口长度等显著低于对照组（P＜0.01）.术后没有发生呼吸困难、出血、声嘶、声音低沉、口周四肢麻木和/或手足痉挛抽搐、甲状腺危象等严重并发症,患者均痊愈出院.随访6～12个月均无复发,效果满意.结论：小切口无气腔室内镜下甲状腺手术临床综合疗效明显优于传统手术方法,具有创伤小、切口美观、疼痛减轻等优点.同时积极配合有针对性的护理措施,促进患者早日康复,提高患者生活质量.

The contrast of the efficacy of minimally invasive endoscopic thyroidectomy with traditional operation

Objective: To compare minimally invasive endoscopic thyroidectomy and traditional operation on their effects.Methods: 54 cases in aimed group accepted minimally invasive endoscopic partial thyroidectomy without air chamber;as a control,54 cases undergone traditional partial thyroidectomy.The compared indexes include bleeding volume in operation,hospitalization time,incision length,ache extent in incision,complications post-operation,and exterior inflammatory swelling on neck as well.Results: The bleeding volume in operation,hospitalization time and incision length in investigated group were markedly less than control(P<0.01).Moreover,there were no any serious complications post-operation such as dyspnoea,bleeding,hoarseness,broken voice,peri-mouse and extremities numbness,and/or extremities spasm and twitch.All patients in studied group recovered and have not recurred after 6-12 months' follow-up.Conclusions: The clinical synthetic effect of minimally invasive endoscopic thyroidectomy is superior to traditional procedure obviously for its advantages of minimal invasion,beautiful incision,less complication and lighten ache.