蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
8期
1005-1007
,共3页
甲状腺疾病%甲状腺切除术%内镜
甲狀腺疾病%甲狀腺切除術%內鏡
갑상선질병%갑상선절제술%내경
thyroid disease%thyroidectomy%endoscopic
目的::比较经胸乳径路腔镜甲状腺手术与传统甲状腺手术治疗甲状腺良性疾病的临床效果。方法:选取甲状腺良性疾病患者60例,其中25例采用经胸乳径路腔镜甲状腺手术(腔镜组),35例采用传统甲状腺手术(传统组)。比较2组手术时间、术中出血量、术后引流量、住院时间、住院费用和术后并发症。结果:2组患者的术后引流量和住院时间差异均无统计学意义(P>0.05)。腔镜组手术时间明显长于传统组(P<0.01),术中出血量显著少于传统组(P<0.01),而住院费用明显高于传统组(P<0.01)。腔镜组中3例患者术后出现声音嘶哑,于术后2个月恢复正常。结论:经胸乳径路腔镜甲状腺切除术是一种安全、微创的手术方式,虽然费用较高,但值得在特定人群中推广。
目的::比較經胸乳徑路腔鏡甲狀腺手術與傳統甲狀腺手術治療甲狀腺良性疾病的臨床效果。方法:選取甲狀腺良性疾病患者60例,其中25例採用經胸乳徑路腔鏡甲狀腺手術(腔鏡組),35例採用傳統甲狀腺手術(傳統組)。比較2組手術時間、術中齣血量、術後引流量、住院時間、住院費用和術後併髮癥。結果:2組患者的術後引流量和住院時間差異均無統計學意義(P>0.05)。腔鏡組手術時間明顯長于傳統組(P<0.01),術中齣血量顯著少于傳統組(P<0.01),而住院費用明顯高于傳統組(P<0.01)。腔鏡組中3例患者術後齣現聲音嘶啞,于術後2箇月恢複正常。結論:經胸乳徑路腔鏡甲狀腺切除術是一種安全、微創的手術方式,雖然費用較高,但值得在特定人群中推廣。
목적::비교경흉유경로강경갑상선수술여전통갑상선수술치료갑상선량성질병적림상효과。방법:선취갑상선량성질병환자60례,기중25례채용경흉유경로강경갑상선수술(강경조),35례채용전통갑상선수술(전통조)。비교2조수술시간、술중출혈량、술후인류량、주원시간、주원비용화술후병발증。결과:2조환자적술후인류량화주원시간차이균무통계학의의(P>0.05)。강경조수술시간명현장우전통조(P<0.01),술중출혈량현저소우전통조(P<0.01),이주원비용명현고우전통조(P<0.01)。강경조중3례환자술후출현성음시아,우술후2개월회복정상。결론:경흉유경로강경갑상선절제술시일충안전、미창적수술방식,수연비용교고,단치득재특정인군중추엄。
Objective:To compare the clinical effects of the endoscopic thyroidectomy by breast approach and conventional thyroidectomy in the treatment of benign thyroid disease. Methods:Among 60 patients with benign thyroid disease,20 cases were treated with the endoscopic thyroidectomy by breast approach ( endoscopy group ) , 35 cases were treated with conventional thyroidectomy ( convention group ) . The operative time, intraoperative blood loss, postoperative drainage flow, hospitalization time and cost, and postoperative complications between two groups were compared. Results:The postoperative drainage flow and hospitalization time between two groups were not statistically significant(P>0. 05). The operative time,intraoperative blood loss and hospitalization cost in endoscopy group were longer,less and higher than those in conventional group,respectively(P<0. 01). Three cases with hoarseness in endoscopy group were found after operation,who recovered after two months of operation. Conclusions:The endoscopic thyroidectomy by breast approach is a safe and minimally invasive method,which is worth popularizing in specific populations.