中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
23期
63-64
,共2页
甲状腺肿瘤%腔镜%经胸乳入路%喉返神经%临床疗效
甲狀腺腫瘤%腔鏡%經胸乳入路%喉返神經%臨床療效
갑상선종류%강경%경흉유입로%후반신경%림상료효
Thyroid tumor%Mirror%Via breast approach%The recurrent laryngeal nerve%The clinical curative effect
目的：探讨腔镜微创术在甲状腺肿瘤治疗中的应用价值。方法：2012-2014年收治甲状腺肿瘤患者70例，回顾性分析其临床资料，根据患者手术方式分为观察组及对照组，各35例，观察组在腔镜下行甲状腺切除术，对照组采用传统开放甲状腺切除术治疗，比较两组手术时间、术中出血量、术后引流量，同时记录两组术后并发症发生情况。结果：观察组手术时间短、术中出血量及术后引流量少，与对照组比较差异有统计学意义(P＜0.05)；两组术后并发症比较差异无统计学意义(P＞0.05)。结论：腔镜下经胸乳入路小切口甲状腺切除术治疗甲状腺肿瘤，具有术中出血少、术后恢复快等优点，兼具治疗与美容效果，是外科治疗甲状腺疾病的理想治疗方案。
目的：探討腔鏡微創術在甲狀腺腫瘤治療中的應用價值。方法：2012-2014年收治甲狀腺腫瘤患者70例，迴顧性分析其臨床資料，根據患者手術方式分為觀察組及對照組，各35例，觀察組在腔鏡下行甲狀腺切除術，對照組採用傳統開放甲狀腺切除術治療，比較兩組手術時間、術中齣血量、術後引流量，同時記錄兩組術後併髮癥髮生情況。結果：觀察組手術時間短、術中齣血量及術後引流量少，與對照組比較差異有統計學意義(P＜0.05)；兩組術後併髮癥比較差異無統計學意義(P＞0.05)。結論：腔鏡下經胸乳入路小切口甲狀腺切除術治療甲狀腺腫瘤，具有術中齣血少、術後恢複快等優點，兼具治療與美容效果，是外科治療甲狀腺疾病的理想治療方案。
목적：탐토강경미창술재갑상선종류치료중적응용개치。방법：2012-2014년수치갑상선종류환자70례，회고성분석기림상자료，근거환자수술방식분위관찰조급대조조，각35례，관찰조재강경하행갑상선절제술，대조조채용전통개방갑상선절제술치료，비교량조수술시간、술중출혈량、술후인류량，동시기록량조술후병발증발생정황。결과：관찰조수술시간단、술중출혈량급술후인류량소，여대조조비교차이유통계학의의(P＜0.05)；량조술후병발증비교차이무통계학의의(P＞0.05)。결론：강경하경흉유입로소절구갑상선절제술치료갑상선종류，구유술중출혈소、술후회복쾌등우점，겸구치료여미용효과，시외과치료갑상선질병적이상치료방안。
To investigate the application value of minimally invasive endoscopic in the treatment of thyroid cancer. Methods:70 cases with thyroid tumors were selected from 2012 to 2014,and their clinical data were retrospectively analyzed.They were divided into the observation group and the control group according to the mode of operation with 35 cases in each.The observation group were treated with thyroidectomy under laparoscopy,and the control group were treated with traditional open thyroidectomy treatment.We compared the operation time,intraoperative bleeding volume and postoperative drainage volume in two groups,at the same time,recorded the occurrence of complications in two groups after operation.Results:Compared with the control group,the operation time of the observation group were shorter,and the amount of bleeding during operation and postoperative drainage volume were less.The difference were statistically significant between the two groups(P<0.05).The difference in postoperative complications of the two groups has no statistically significant(P>0.05).Conclusion:Endoscopic via breast approach mini incision thyroidectomy in the treatment of thyroid cancer has advantage of less bleeding,quick postoperative recovery,both therapeutic and cosmetic effect,so it is the ideal treatment for surgical treatment of thyroid diseases.
