CAJ | 학술논문

目的观察内镜下甲状腺良性肿瘤切除术的疗效.方法 60例甲状腺良性肿瘤患者随机分为内镜组和传统组,每组各30例.比较两组的手术时间、失血量、引流量、术后住院时间、术后并发症、住院费用等.结果两组术后住院时间差异(P>0.05);内镜组失血量(25.3±15.6)ml,明显少于传统组的(57.2±33.8)ml(P<0.05);内镜组术后引流量(85.6±53.2)ml,明显多于传统组(23.5 ±37.2)ml(P<0.05);内镜组手术时间为(105.3±23.5)min,与传统组(80.4±25.3)min比较差异有统计学意义(P<0.05);住院费用内镜组明显高于传统组(P<0.05).两组术后均未发生明显并发症.结论与传统开放手术相比,良性甲状腺肿瘤的内镜手术具有美容、出血少等优点,是治疗该疾病一种很好的选择.
목적 관찰내경하갑상선량성종류절제술적료효.방법 60례갑상선량성종류환자수궤분위내경조화전통조,매조각30례.비교량조적수술시간、실혈량、인류량、술후주원시간、술후병발증、주원비용등.결과 량조술후주원시간차이(P>0.05);내경조실혈량(25.3±15.6)ml,명현소우전통조적(57.2±33.8)ml(P<0.05);내경조술후인류량(85.6±53.2)ml,명현다우전통조(23.5 ±37.2)ml(P<0.05);내경조수술시간위(105.3±23.5)min,여전통조(80.4±25.3)min비교차이유통계학의의(P<0.05);주원비용내경조명현고우전통조(P<0.05).량조술후균미발생명현병발증.결론 여전통개방수술상비,량성갑상선종류적내경수술구유미용、출혈소등우점,시치료해질병일충흔호적선택.
Objective To observe the efficacy of endoscopic resection with thyroid benign tumor. Methods 60 cases of thyroid benign tumor were randomly divided into the endoscopic group and the traditional group, 30 cases in each group. The operation time, blood loss ,drainage volume, postoperative hospital stay, postoperative complications and hospitalization expenses in two groups were compared. Results There was no significant difference ( P >0. 05) between the two groups of postoperative hospital stay; endoscopic group blood loss (25.3 ± 15.6) ml significantly less than the traditional group (57. 2 ± 33. 8) ml, the difference was statistically significant ( P < 0. 05); endoscopic postoperative drainage volume ( 85.6 ± 53.2) ml significantly more than the traditional group ( 23. 5 ±37.2) ml (P < 0. 05); endoscopic operative time of ( 105.3 ± 23. 5) min, while the traditional group ( 80. 4 ±25. 3 ) min, the difference was significant ( P < 0. 05 ); hospitalization costs were significantly higher than conventional endoscopy group ( P < 0. 05). Both groups were not have obvious complications postoperation. Conclusion Compared with traditional open surgery, endoscopic surgery for benign thyroid tumors has advantages of superior cosmetic results and less bleeding,it is a good choice for the treatment of the disease.