CAJ | 학술논문

目的：比较经乳晕入路腔镜与开放甲状腺切除术治疗良性甲状腺疾病的可行性和手术效果。方法80例良性甲状腺疾病患者按手术方式不同分为腔镜组40例和开放组40例，分别采用经乳晕入路腔镜甲状腺切除术、传统开放性甲状腺切除术治疗。结果两组均顺利完成手术。与开放组比较，腔镜组手术时间短、术中出血量少、术后引流量少、术后住院时间短（P＜0．05）；两组术后均未发生明显并发症。两组随访时间为6个月，腔镜组患者均对手术的美容效果满意。开放组患者均认为手术瘢痕裸露影响美观。结论经乳晕入路腔镜甲状腺切除术具有手术时间短、出血量少、安全可靠、术后恢复快、美容效果好等优势。
목적：비교경유훈입로강경여개방갑상선절제술치료량성갑상선질병적가행성화수술효과。방법80례량성갑상선질병환자안수술방식불동분위강경조40례화개방조40례，분별채용경유훈입로강경갑상선절제술、전통개방성갑상선절제술치료。결과량조균순리완성수술。여개방조비교，강경조수술시간단、술중출혈량소、술후인류량소、술후주원시간단（P＜0．05）；량조술후균미발생명현병발증。량조수방시간위6개월，강경조환자균대수술적미용효과만의。개방조환자균인위수술반흔라로영향미관。결론경유훈입로강경갑상선절제술구유수술시간단、출혈량소、안전가고、술후회복쾌、미용효과호등우세。
Objective To compare the feasibility and operation result of endoscopic thyroidectomy via mammary areola approach versus open thyroidectomy for treatment of benign thyroid tumor .Methods Eighty patients with benign thyroid tumor were divided into two groups according to the operation method .Forty cases in the endoscope group received endoscopic thyroidectomy via mammary areola approach , and forty cases in the open operation group received traditional open thyoidectomy .Results Both groups succeeded in the operation .Compared with the open operation group,the endoscope group showed less bleeding during operation ,less drainage and shorter hospital stay after operation(P<0.05).There were no severe complications after operation in two groups .All patients in two groups were followed up for 6 months.The patients in the endoscope group were satisfied with the cosmetic result of the operation . The operation scars of patients in the open operation group were naked ,which affected the cosmetic result of the operation . Conclusion Endoscopic thyroidectomy via mammary areola approach has such advantages as less operation time,less bleeding during operation ,safe and reliable ,quickly postoperative recovery and ideal cosmetic results.