CAJ | 학술논문

目的：探讨腔镜甲状腺手术（ET）治疗甲状腺良性结节的步骤和技巧。方法回顾性分析本院收治的80例甲状腺良性结节患者的手术临床资料，分析所有患者术后3、8、24 h 的疼痛视觉模拟（VAS）评分及术后1个月颈部不适感发生率及切口满意度。结果80例患者手术均获得成功，术后3、8、24 h 的 VAS 评分为（2．3±0．6）分、（1．9±1．2）分、（1．2±0．5）分，与3hVAS评分比较，差异有统计学意义（P ＜0．05），且术后1个月患者的不适感发生率仅为5．0％，而切口满意度高达97．5％。结论腔镜甲状腺手术具有安全、高效、美观、切口小、疼痛轻等优点，通过熟练掌握相应的技巧能增加手术成功率。
목적：탐토강경갑상선수술（ET）치료갑상선량성결절적보취화기교。방법회고성분석본원수치적80례갑상선량성결절환자적수술림상자료，분석소유환자술후3、8、24 h 적동통시각모의（VAS）평분급술후1개월경부불괄감발생솔급절구만의도。결과80례환자수술균획득성공，술후3、8、24 h 적 VAS 평분위（2．3±0．6）분、（1．9±1．2）분、（1．2±0．5）분，여3hVAS평분비교，차이유통계학의의（P ＜0．05），차술후1개월환자적불괄감발생솔부위5．0％，이절구만의도고체97．5％。결론강경갑상선수술구유안전、고효、미관、절구소、동통경등우점，통과숙련장악상응적기교능증가수술성공솔。
Objective To explore the procedures and practice of endoscopic thyroidectomy (ET)for patients with benign thyroid nodules.Methods The clinical surgical data of 80 patients with benign thyroid nodules were retrospectively analyzed,primary outcome was visual analogue scale (VAS)scores evaluated at 3,8 and 24 h after surgery,secondary outcomes were incidence of neck discomfort and satisfaction rate to incision.Results 80 cases completed the surgery,VAS scores at 3,8 and 24 h after surgery were (2.3±0.6),(1.9±1.2)and (1.2±0.5)respectively, the score at 8 h and 24 h were significant lower than that at 8 h (P <0.05).Additionally,1 month after surgery,the incidence of neck discomforts was only 5.0% while the satisfaction rate to incision was 97.5%.Conclusion Endoscopic thyroidectomy has several advantages including safety,high efficiency,good appearance,small incision and slight pain during surgery,the successful rate of surgery through proficient could be increased by proficiently master of skills.