胸乳入路腔镜甲状腺手术与传统手术的临床效果比较

Clinical comparison of endoscopic thyroid surgery between chest-breast and traditional approach

摘要:

目的 比较胸乳入路腔镜甲状腺手术及传统手术两种方式治疗良性甲状腺疾病的临床效果。方法 选取2014年7月－2019年12月河北省人民医院腺体外科行甲状腺手术的患者106例，分为腔镜组（n = 53）与传统组（n = 53）。比较两组患者手术时间、术中出血量、术后引流量、引流时间、术后住院天数、术后止痛药需求和手术并发症发生率。结果 两组患者术中出血量、术后住院天数、术后止痛药需求和手术并发症发生率比较，差异均无统计学意义（P > 0.05）。腔镜组手术时间和引流时间较传统组长，术后引流量较传统组多，两组比较，差异均有统计学意义（P < 0.05）。结论 胸乳入路腔镜甲状腺手术治疗良性甲状腺疾病在手术安全性、可行性方面与传统手术无明显差别；但手术时间长，引流量多，且引流时间较传统手术长。

Abstract:

Objective To compare the clinical efficacy of endoscopic thyroid with chest-breast approach and traditional surgery in the treatment of benign thyroid disease.Methods 106 patients underwent thyroid surgery from July 2014 to December 2019, divided into endoscopic group (n = 53) and traditional group (n = 53). The operation time, intraoperative blood loss, postoperative drainage volume, drainage time, postoperative hospital stay, postoperative pain medication requirements, and the incidence of complications between the two groups were compared.Results There were no statistically significant differences in the intraoperative blood loss, postoperative hospital stay, postoperative pain medication requirements, and incidence of complications (P > 0.05). The operation time and drainage time of endoscopic group were longer than those in traditional group, postoperative drainage volume of endoscopic group was more than that of traditional group, and the difference were statistically significant (P < 0.05).Conclusion Endoscopic thyroid with chest-breast approach is not significantly different from traditional surgery in the safety and feasibility of treating benign thyroid disease; However, the operation time and drainage time is longer and the drainage volume is more than traditional surgery.