CAJ | 학술논문

目的：比较胸乳入路腔镜甲状腺切除术与传统手术治疗甲状腺疾病的临床疗效，评价腔镜在该病治疗中的应用价值。方法分析经胸乳入路腔镜甲状腺手术（腔镜组）治疗的20例甲状腺良性肿瘤患者临床资料，并与同期行传统手术（传统组）治疗的20例甲状腺肿瘤患者进行临床对比分析。结果腔镜组手术时间、术中出血量、术后引流量、住院时间、术后并发症发生率、美容满意度分别为（97．2±15．6） min、（17．8±8．6）mL、（30．2±11．8）mL、（4．7±0．9）d、15％、90％，传统组分别为（70．3±19．0）min、（24．6±15．2） mL、（35．6±19．6）mL、（5．2±0．6）d、10％、30％，两组术后住院时间、引流量、美容满意度差异均有统计学意义（t＝-2．203、-2．427，χ2＝54．432，均P＜0．05）。结论腔镜手术治疗甲状腺疾病具有手术创伤小、并发症少等优点，且颈部无瘢痕，是一种比较理想的微创手术治疗方式。
목적：비교흉유입로강경갑상선절제술여전통수술치료갑상선질병적림상료효，평개강경재해병치료중적응용개치。방법분석경흉유입로강경갑상선수술（강경조）치료적20례갑상선량성종류환자림상자료，병여동기행전통수술（전통조）치료적20례갑상선종류환자진행림상대비분석。결과강경조수술시간、술중출혈량、술후인류량、주원시간、술후병발증발생솔、미용만의도분별위（97．2±15．6） min、（17．8±8．6）mL、（30．2±11．8）mL、（4．7±0．9）d、15％、90％，전통조분별위（70．3±19．0）min、（24．6±15．2） mL、（35．6±19．6）mL、（5．2±0．6）d、10％、30％，량조술후주원시간、인류량、미용만의도차이균유통계학의의（t＝-2．203、-2．427，χ2＝54．432，균P＜0．05）。결론강경수술치료갑상선질병구유수술창상소、병발증소등우점，차경부무반흔，시일충비교이상적미창수술치료방식。
Objective To explore the superiority and clinical efficacy of endoscopic thyroidectomy via breast approach in treatment of thyroid diseases .At the same time evaluation of endoscopic application value in the treatment of the disease .Methods Retrospective analysis of menstrual breast approach endoscopic 20 patients with benign thy-roid tumor patient clinical data ,and with the same period in 20 cases of thyroid cancer patients underwent convention-al operation of undergraduate clinical comparativeanalysis .Results Cavity mirrors the operative time , intraoperative blood loss,postoperative flow,length of hospital stay,postoperative complications and beauty satisfaction respectively (97.2 ±15.6)min,(17.8 ±8.6)mL,(30.2 ±11.8)mL,(4.7 ±0.9)d,15%,90%;the traditional group respec-tively(70.3 ±19.0)min,(24.6 ±15.2)mL,(35.6 ±19.6)mL,(5.2 ±0.6)d,10%,30%.Two groups of postoper-ative hospital stay,led traffic,beauty satisfaction difference had statistical significance (t=-2.203,-2.427,χ2 =54.432,all P<0.05).Conclusion Laparoscopic operation for treatment of thyroid disease has the advantages of small operation wound ,fewer complications ,and without scar on the neck ,which is an ideal minimally invasive opera-tion treatment .