CAJ | 학술논문

目的：对胸乳入路腔镜甲状腺手术与开放手术的临床效果进行对比研究。方法：分析46例胸乳入路腔镜甲状腺手术与同期实施的40例同类开放甲状腺手术患者的临床资料，比较两组患者一般情况、手术时间、术中出血量、术后第1天切口引流量、术后住院天数、手术并发症及美容效果的差异。结果：腔镜组手术时间长、术后第1天切口引流量多，但术后颈部不适感发生率低、美容效果理想。两组患者的术中出血量、术后住院时间、术后并发症发生率差异无统计学意义。结论：胸乳入路腔镜甲状腺手术是一种安全、有效、并发症很少的手术方法，美容效果突出，值得临床推广应用。
목적：대흉유입로강경갑상선수술여개방수술적림상효과진행대비연구。방법：분석46례흉유입로강경갑상선수술여동기실시적40례동류개방갑상선수술환자적림상자료，비교량조환자일반정황、수술시간、술중출혈량、술후제1천절구인류량、술후주원천수、수술병발증급미용효과적차이。결과：강경조수술시간장、술후제1천절구인류량다，단술후경부불괄감발생솔저、미용효과이상。량조환자적술중출혈량、술후주원시간、술후병발증발생솔차이무통계학의의。결론：흉유입로강경갑상선수술시일충안전、유효、병발증흔소적수술방법，미용효과돌출，치득림상추엄응용。
Objective To evaluate and compare the clinical efficiency of endoscopic thyroidectomy with conventional open thyroidectomy via trans-thoracoareolar approach in a clinical study. Methods Analyze patients who underwent thyroid operations in the department of thyroid and breast surgery, 46 patients undergone endoscopic thyroidectomy via trans-thoracoareolar approach (group endoscopy) , 40 patients undergone conventional open thyroidectomy (group open) . The difference of patients’ general condition , operative time , blood loss , the volume of drainage in the first day after operation , time of postoperative , postoperative complications and cosmetic effects were compared. Results The operation time in group endoscopy was longer and the volume of drainage in the first day after operation was also much more than the group open . However , the group endoscopy had superiority in the neck discomfort and bet er return to natural activity . The difference had no statistical significance between the two groups in the intraoperative blood loss , postoperative time and postoperative complications. Conclusion Endoscopic thyroidectomy via trans-thoracoareolar approach , with prominent cosmetic effect , is a safe , effective and less complications alternative to conventional open thyroidectomy , and deserves further clinical applications.