Comparison of Curative Effect between Endoscopic Surgery and Open Surgery for Primary Hyperthyroidism Patients
Objective To investigate the clinical effect of endoscopic surgery and open surgery in the treatment of pri-mary hyperthyroidism(PH).Methods A total of two hundred and seventy-four PH patients in the Second Affiliated Hospital of Guangxi University of Science and Technology from January 2021 to December 2022 were conveniently se-lected as the study objects and divided into two groups according to different surgical methods.The control group(n=146)underwent an open tracheostomy(OT).The observation group(n=128)underwent endoscopic thyroidectomy(ET).Intraoperative indexes,postoperative indexes and complications were compared between the two groups.Results The operation time of observation group was(103.6±33.5)min,which was significantly longer than that of control group(78.9±25.4)min,and the difference was statistically significant(t=19.516,P<0.05).The intraoperative blood loss in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).The incision in the observation group was shorter than that in the control group,and the difference was statistically sig-nificant(P<0.05).The postoperative drainage volume of the observation group was less than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the removal time be-tween the two groups(P>0.05).The incidence of complications in the observation group was lower than that in the con-trol group,the difference was statistically significant(P<0.05).Conclusion Compared with OT,although the operation time of ET in the treatment of PH patients is longer,it can significantly reduce the amount of intraoperative blood loss,reduce the occurrence of postoperative complications,and reduce the postoperative drainage volume and the length of surgical incision.
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