中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
29期
137-139,142
,共4页
甲状腺良性肿瘤%甲状腺手术%腔镜辅助下小切口%传统开放性
甲狀腺良性腫瘤%甲狀腺手術%腔鏡輔助下小切口%傳統開放性
갑상선량성종류%갑상선수술%강경보조하소절구%전통개방성
Thyroid benign neoplasm%Thyroid operation%Minimal incision in neck under laparoscopy%Traditional open
目的：比较分析腔镜辅助下小切口甲状腺手术与传统开放性甲状腺手术治疗甲状腺良性肿瘤的疗效及安全性。方法选择2013年1月~2014年1月期间在浙江省宁波市北仑区人民医院住院并接受手术治疗的68例甲状腺良性肿瘤患者分为腔镜辅助组(n=34例)与对照组(n=34例)，其中腔镜辅助组采用腔镜辅助下小切口甲状腺切除术，对照组采用开放性甲状腺切除术。观察并比较两组患者的手术时间、术中出血量、术后引流量、拔管时间、切口长度、住院时间及术后并发症发生情况。结果腔镜辅助组患者的手术时间、术后出血量、术后引流量、拔管时间、切口长度、住院时间及术后并发症发生率[(53.75±12.76)min、(12.46±3.27)mL、(28.89±6.47)mL、(2.13±0.57)d、(3.17±0.84)cm、(3.45±0.73)d、5.9%]均明显少于对照组[(85.46±15.46)min、(14.68±4.18)mL、(32.18±7.03)mL、(3.42±0.64)d、(5.42±1.13)cm、(4.88±0.95)d、23.5%](P<0.01或P<0.05)。术后随访4~16个月，平均(9.7±1.8)个月，腔镜辅助组复发1例，对照组复发3例。两组术后复发率比较差异无统计学意义(字2=0.27，P>0.05)。结论腔镜辅助下小切口甲状腺手术治疗甲状腺良性肿瘤较传统开放性手术治疗具有手术时间短、术中出血少、术后恢复快、美容效果好、术后并发症少等优点。
目的：比較分析腔鏡輔助下小切口甲狀腺手術與傳統開放性甲狀腺手術治療甲狀腺良性腫瘤的療效及安全性。方法選擇2013年1月~2014年1月期間在浙江省寧波市北崙區人民醫院住院併接受手術治療的68例甲狀腺良性腫瘤患者分為腔鏡輔助組(n=34例)與對照組(n=34例)，其中腔鏡輔助組採用腔鏡輔助下小切口甲狀腺切除術，對照組採用開放性甲狀腺切除術。觀察併比較兩組患者的手術時間、術中齣血量、術後引流量、拔管時間、切口長度、住院時間及術後併髮癥髮生情況。結果腔鏡輔助組患者的手術時間、術後齣血量、術後引流量、拔管時間、切口長度、住院時間及術後併髮癥髮生率[(53.75±12.76)min、(12.46±3.27)mL、(28.89±6.47)mL、(2.13±0.57)d、(3.17±0.84)cm、(3.45±0.73)d、5.9%]均明顯少于對照組[(85.46±15.46)min、(14.68±4.18)mL、(32.18±7.03)mL、(3.42±0.64)d、(5.42±1.13)cm、(4.88±0.95)d、23.5%](P<0.01或P<0.05)。術後隨訪4~16箇月，平均(9.7±1.8)箇月，腔鏡輔助組複髮1例，對照組複髮3例。兩組術後複髮率比較差異無統計學意義(字2=0.27，P>0.05)。結論腔鏡輔助下小切口甲狀腺手術治療甲狀腺良性腫瘤較傳統開放性手術治療具有手術時間短、術中齣血少、術後恢複快、美容效果好、術後併髮癥少等優點。
목적：비교분석강경보조하소절구갑상선수술여전통개방성갑상선수술치료갑상선량성종류적료효급안전성。방법선택2013년1월~2014년1월기간재절강성저파시북륜구인민의원주원병접수수술치료적68례갑상선량성종류환자분위강경보조조(n=34례)여대조조(n=34례)，기중강경보조조채용강경보조하소절구갑상선절제술，대조조채용개방성갑상선절제술。관찰병비교량조환자적수술시간、술중출혈량、술후인류량、발관시간、절구장도、주원시간급술후병발증발생정황。결과강경보조조환자적수술시간、술후출혈량、술후인류량、발관시간、절구장도、주원시간급술후병발증발생솔[(53.75±12.76)min、(12.46±3.27)mL、(28.89±6.47)mL、(2.13±0.57)d、(3.17±0.84)cm、(3.45±0.73)d、5.9%]균명현소우대조조[(85.46±15.46)min、(14.68±4.18)mL、(32.18±7.03)mL、(3.42±0.64)d、(5.42±1.13)cm、(4.88±0.95)d、23.5%](P<0.01혹P<0.05)。술후수방4~16개월，평균(9.7±1.8)개월，강경보조조복발1례，대조조복발3례。량조술후복발솔비교차이무통계학의의(자2=0.27，P>0.05)。결론강경보조하소절구갑상선수술치료갑상선량성종류교전통개방성수술치료구유수술시간단、술중출혈소、술후회복쾌、미용효과호、술후병발증소등우점。
Objective To compare and analyze the curative effect and security of thyroidectomy with minimal incision in neck under laparoscopy and traditional open thyroid operation to treat thyroid benign neoplasm. Methods A total of 68 cases of patients with thyroid benign neoplasm were given the operation in Beilun District People's Hospital during the period from January 2013 to January 2014, and they were divided into laparoscopy assisted group (n=34) and control group (n=34). The patients in laparoscopy assisted group were given minimal incision in neck under laparoscopy, while the patients in control group were given open thyroid operation. The operation time, intraoperative amount of blood, postoperative amount of drainage, time of extubation, incision length, length of stay (LOS) and operative occurrence of complication were observed and compared. Results The operation time, intraoperative amount of blood, postoperative amount of drainage, time of extubation, incision length, length of stay (LOS) and operative occurrence of complication of patients in laparoscopy assisted group [(53.75±12.76)min, (12.46±3.27)mL, (28.89±6.47)mL, (2.13±0.57)d, (3.17±0.84) cm, (3.45±0.73)d, 5.9%]were obviously shorter or less or lower than those in control group [(85.46±15.46)min, (14.68±4.18)mL, (32.18±7.03)mL, (3.42±0.64)d, (5.42±1.13)cm, (4.88±0.95)d, 23.5%] (P<0.01 or P<0.05). After a median fol low-up of (9.7±1.8) months (range from 4 to 16 months), 1 case in laparoscopy assisted group and 3 cases in control group were recurred. The recurrent rate in two groups had no difference(χ2=0.27, P>0.05). Conclusion Compared with traditional open thyroid operation, thyroidectomy with minimal incision in neck under laparoscopy to treat thyroid be-nign neoplasm have the following advantages, shorter operation time, less intraoperative amount of blood, quicker post-operative recovery, more favorable cosmetic effect, less postoperative complication and so on.
