中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
27期
27-29
,共3页
甲状腺切除术%良性甲状腺肿瘤%乳晕%腔镜
甲狀腺切除術%良性甲狀腺腫瘤%乳暈%腔鏡
갑상선절제술%량성갑상선종류%유훈%강경
Thyroidectomy%Benign thyroid tumor%Areola%Laparoscopic
目的：探讨经乳晕入路腔镜甲状腺切除术治疗良性甲状腺肿瘤的临床效果。方法：回顾性分析本院2007年12月-2013年12月收治的78例良性甲状腺肿瘤患者的临床资料，按照治疗方法分为对照组（39例，开放甲状腺切除术）和观察组（39例，经乳晕入路腔镜甲状腺切除术）。观察比较两组的围手术期相关指标以及术后恢复情况。结果：观察组的手术时间、术中出血量、术后引流量和术后住院时间均显著优于对照组，比较差异均有统计学意义（P<0.05）；随访12个月，两组患者均获得随访，无失访患者。经随访，观察组患者均对恢复情况表示满意，对照组患者则大多表示手术导致的瘢痕裸露影响美观。结论：经乳晕入路腔镜甲状腺切除术治疗良性甲状腺肿瘤可以获得良好的临床效果。
目的：探討經乳暈入路腔鏡甲狀腺切除術治療良性甲狀腺腫瘤的臨床效果。方法：迴顧性分析本院2007年12月-2013年12月收治的78例良性甲狀腺腫瘤患者的臨床資料，按照治療方法分為對照組（39例，開放甲狀腺切除術）和觀察組（39例，經乳暈入路腔鏡甲狀腺切除術）。觀察比較兩組的圍手術期相關指標以及術後恢複情況。結果：觀察組的手術時間、術中齣血量、術後引流量和術後住院時間均顯著優于對照組，比較差異均有統計學意義（P<0.05）；隨訪12箇月，兩組患者均穫得隨訪，無失訪患者。經隨訪，觀察組患者均對恢複情況錶示滿意，對照組患者則大多錶示手術導緻的瘢痕裸露影響美觀。結論：經乳暈入路腔鏡甲狀腺切除術治療良性甲狀腺腫瘤可以穫得良好的臨床效果。
목적：탐토경유훈입로강경갑상선절제술치료량성갑상선종류적림상효과。방법：회고성분석본원2007년12월-2013년12월수치적78례량성갑상선종류환자적림상자료，안조치료방법분위대조조（39례，개방갑상선절제술）화관찰조（39례，경유훈입로강경갑상선절제술）。관찰비교량조적위수술기상관지표이급술후회복정황。결과：관찰조적수술시간、술중출혈량、술후인류량화술후주원시간균현저우우대조조，비교차이균유통계학의의（P<0.05）；수방12개월，량조환자균획득수방，무실방환자。경수방，관찰조환자균대회복정황표시만의，대조조환자칙대다표시수술도치적반흔라로영향미관。결론：경유훈입로강경갑상선절제술치료량성갑상선종류가이획득량호적림상효과。
Objective:To explore the effect of endoscopic thyroidectomy via breast areola approach for the treatment of benign thyroid tumor.Method:A retrospective analysis was performed on the clinical data of 78 patients with benign thyroid tumor in our hospital from December 2007 to December 2013.They were divided into the control group (39 cases,open thyroidectomy) and the observation group (39 cases endoscopic thyroidectomy via breast areola approach) according to the treatment methods.The indexes of peri operation period and the recovery situation after treatment of the two groups were observed and compared.Result:The perioperative bleeding,the operative time,the volume of postoperative drainage and the postoperative hospital stays were significantly better than those of the control group,the differences were statistically significant(P<0.05).Follow-up of 12 months, all the patients finished the follow up,there were no drop out patients.During the follow-up,patients in the observation group were satisfying with the recovery situation,patients in the control expressed that scars caused by surgery influenced the beauty.Conclusion:Endoscopic thyroidectomy via breast areola approach for treatment of benign thyroid tumors can obtain good clinical effect.
