腔镜甲状腺手术中经全乳晕入路与经口腔前庭入路的效果对比
Comparison of Total Areola Approach And Oral Vestibular Approach in Endoscopic Thyroid Surgery
谢凯 1矫恒涛1
作者信息
- 1. 北京丰台医院甲乳疝肛肠外科,北京 100070
- 折叠
摘要
目的 对比腔镜甲状腺手术中经全乳晕入路与经口腔前庭入路的临床效果.方法 选择 2022 年 1 月至2023 年 12 月在北京丰台医院甲乳疝肛肠外科行腔镜甲状腺手术的 110 例 cN0 甲状腺微小乳头状癌女性患者,按手术入路不同分为两组,常规组 60 例,采取经全乳晕入路手术;研究组 50 例,采取经口腔前庭入路手术.对比两组手术指标、术后疼痛、生化指标、临床疗效及术后并发症情况.结果 研究组术中出血量、手术时间、住院时间均少于常规组,P<0.05.研究组术后 2 h、24h、48h的 VAS评分均低于常规组,P<0.05.两组红细胞沉降率、白细胞计数、C-反应蛋白水平对比,P>0.05.两组临床总有效率、术后并发症发生率对比,P>0.05.结论 在腔镜甲状腺手术中采用经口腔前庭入路的临床效果优于经全乳晕入路,其手术时间更短,术后患者疼痛程度更低,且手术安全性良好.
Abstract
Objective:To compare the clinical effects of total areola approach and oral vestibular approach in endoscopic thyroid surgery.Methods:From January 2022 to December 2023110 female patients with thyroid microcarcinoma who underwent endoscopic thyroidectomy in anorectal surgery of nail breast hernia in Beijing Fengtai Hospital were di-vided into two groups according to different surgical approaches.The routine group 60 cases,was operated through to-tal areola approach.In the study group 50 cases,were operated by oral vestibular approach.The surgical indexes,post-operative pain、biochemical indexes、clinical efficacy and postoperative complications were compared between the two groups.Results:The blood loss,operation time and hospitalization time in the study group were less than those in the routine group,P<0.05.The VAS scores of the study group at 2 h、24 h and 48 h after operation were lower than those of the routine group,P<0.05.The erythrocyte sedimentation rate、white blood cell count and C-reactive pro-tein level of the two groups were compared,P>0.05.The clinical total effective rate and postoperative complications of the two groups were compared,P>0.05.Conclusion:The clinical effect of oral vestibular approach in endoscopic thyroid surgery is better than that of total areola approach,with shorter operation time,lower postoperative pain and good safety.
关键词
甲状腺手术/腔镜甲状腺/经全乳晕入路/经口腔前庭入路Key words
Thyroid surgery/Endoscopic thyroid/Total areola approach/Oral vestibular approach引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据