CAJ | 학술논문

目的：研究经口腔入路腔镜甲状腺手术的临床应用效果。方法选取行经口腔入路腔镜手术的甲状腺良性肿瘤患者21例为口腔入路组，采用配对原则选取同期行常规开放手术的甲状腺良性肿瘤患者21例及行胸乳入路腔镜手术的甲状腺良性肿瘤患者21例作为对照，对比观察3组患者手术时间、术中出血量、术后疼痛VAS评分、颈部活动时间、住院时间、并发症发生率及切口满意度等情况。结果口腔入路组手术时间明显长于胸乳入路组(P<0.05)；口腔入路组术中出血量、术后疼痛VAS评分、颈部活动时间、住院时间、并发症发生率及切口满意度均优于常规开放组相应指标(P<0.05)，而口腔入路组切口满意度亦明显高于胸乳入路组(P<0.05)。结论经口腔入路腔镜甲状腺手术安全、有效，患者创伤小、患者痛苦小、术后恢复快、并发症少、切口满意度高。
목적：연구경구강입로강경갑상선수술적림상응용효과。방법선취행경구강입로강경수술적갑상선량성종류환자21례위구강입로조，채용배대원칙선취동기행상규개방수술적갑상선량성종류환자21례급행흉유입로강경수술적갑상선량성종류환자21례작위대조，대비관찰3조환자수술시간、술중출혈량、술후동통VAS평분、경부활동시간、주원시간、병발증발생솔급절구만의도등정황。결과구강입로조수술시간명현장우흉유입로조(P<0.05)；구강입로조술중출혈량、술후동통VAS평분、경부활동시간、주원시간、병발증발생솔급절구만의도균우우상규개방조상응지표(P<0.05)，이구강입로조절구만의도역명현고우흉유입로조(P<0.05)。결론경구강입로강경갑상선수술안전、유효，환자창상소、환자통고소、술후회복쾌、병발증소、절구만의도고。
Objective To study the clinical effect of transoral endoscopic thyroidectomy. Methods 63 patients were divided into 3 groups according to paired principle,which were selected from the Fuyong People’s Hospital and the First Affiliated Hospital of Jinan University ( Guangzhou Overseas Chinese Hospital) between January 2011 to June 2014;21 patients were treated by oral endoscopic surgical approach as the research group,21 patients were treated by routine thy-roid surgery as the control group 1,21 patients were treated by concomitant areola approach endoscopic thyroid surgery as the control group 2. All clinical data were analyzed,the clinical indicators of three groups were observed. Results The operation time of the research group was obviously longer than that the control group 2 (P<0. 05);The research group with intraoperative bleeding volume,postoperative pain VAS score,cervical activity time,hospitalization time,incidence of com-plications and incision satisfaction were superior than the control group 1 (P<0. 05),while the incision satisfaction of the research group was obviously higher than the control group 2 (P<0. 05). Conclusion The oral approach endoscopic thyroid surgery is safe,effective,with less trauma,less pain,faster recovery,fewer complications,the incision satisfaction is high,and it is worth promoting.