The therapeutic effect of endoscopic thyroidectomy and open surgery on thyroid papillary carcinoma with diameter≤2 cm
Objective To explore the therapeutic effect of endoscopic thyroidectomy and open surgery on thyroid papillary carcino-ma with diameter≤2 cm.Method 160 patients with thyroid papillary carcinoma with the largest diameter of tumor≤2 cm who were admitted to our hospital from September 2021 to December 2022 were selected as the study subjects,and were divided into observation group and control group according to the different surgical methods selected by the patients,with 80 cases in each group.The patients in the control group were treated with conventional open surgery,and the patients in the observation group were treated with endoscopic thyroidectomy.The perioperative indexes,postoperative pain degree,aesthetic degree and satisfaction,the expression level of inflam-matory factors before and 1 day after surgery were compared between the two groups,and the incidence of short-term complications after surgery were compared.Results There was no significant difference in postoperative drainage and number of lymph node dissection be-tween the two groups(P>0.05).The operation time in the observation group were significantly higher than those in the control group.The amount of intraoperative bleeding and hospital stay in the observation group were significantly lower than those in the control group(P<0.05);The Vancounver Scar Scale(VSS)and Visual Analog Scale(VAS)scores were significantly lower in the observation group than in the control group,and the satisfaction scores were significantly higher in the observation group than in the control group(P<0.05);there was no significant difference in the comparison of C-reactive protein(CRP),interleukin-2(IL-2)and tumor necro-sis factor-α(TNF-α)levels between the two groups before surgery(P>0.05),The levels of CRP,IL-2 and TNF-α were elevated in both groups after surgery,but the degree of elevation in the observation group was significantly smaller than that in the control group(P<0.05).The complication rates of short-term postoperative incisional bleeding,hoarseness,neck discomfort,subcutaneous petechi-ae,and numbness of hands and feet in the observation group were not significantly different of the control group,there was no significant difference(P>0.05).Conclusion Endoscopic thyroidectomy and open surgery have good therapeutic effects on thyroid papillary carci-noma with diameter≤2 cm.However,lumpectomy thyroid surgery can further reduce the trauma caused by the surgery compared to open surgery,and the degree of lymphatic clearance is comparable to that of open surgery,and promote the postoperative rehabilitation of patients.At the same time,endoscopic thyroidectomy can reduce the increase of inflammatory factor level after surgery,and has high safety,It does not increase the incidence of short-term complications.
万方数据
维普
