首页|3D腹腔镜手术对分化型甲状腺癌患者围术期指标及甲状腺激素的影响

3D腹腔镜手术对分化型甲状腺癌患者围术期指标及甲状腺激素的影响

Effects of 3D Laparoscopic Surgery on Perioperative Parameters and Thyroid Hormones in Patients with Differentiated Thyroid Cancer

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目的 分析3D腹腔镜手术在分化型甲状腺癌(DTC)患者中的治疗效果.方法 选取96例DTC患者,按随机数字表法分为2组,各48例.对照组行2D腹腔镜手术,观察组行3D腹腔镜手术,观察到术后3个月.对比2组围术期指标、甲状腺激素水平、并发症.结果 观察组术中出血量[(16.23±2.41)ml]少于对照组[(23.49±3.78)ml],手术时间[(54.72±4.63)min]短于对照组[(67.58±6.21)min],差异有统计学意义(P<0.05);2组住院时间、并发症相比,无统计学差异(P>0.05).术前、术后,2组间游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、促甲状腺激素(TSH)相比,无统计学差异(P>0.05);但术后,2组的FT3、FT4低于术前,TSH高于术前,差异有统计学意义(P<0.05).结论 2D腹腔镜手术与3D腹腔镜手术均可有效治疗DTC患者,但都会对患者的甲状腺功能产生一定影响,但3D腹腔镜手术的手术时间更短,术中出血量更少,值得临床大力推行.
Objective To analyze the therapeutic effect of 3D laparoscopic surgery in patients with differentiated thyroid cancer(DTC).Methods 96 patients with DTC were selected and randomly divided into 2 groups,each with 48 cases,using a random number table method.The control group underwent 2D laparoscopic surgery,while the observation group underwent 3D laparoscopic surgery,with an observation period of 3 months after surgery.Compare perioperative indicators,thyroid hormone lev-els,and complications between 2 groups.Results The intraoperative blood loss in the observation group[(16.23±2.41)ml]was lower than that in the control group[(23.49±3.78)ml],and the surgical time[(54.72±4.63)min]was shorter than that in the control group[(67.58±6.21)min],with statistical significance(P<0.05);There was no statistically significant differ-ence in hospital stay and complications between the 2 groups(P>0.05).There was no statistically significant difference(P>0.05)in the levels of free triiodothyronine(FT3),free thyroxine(FT4),and thyroid stimulating hormone(TSH)between the 2 groups before and after surgery;But after surgery,the FT3 and FT4 of the 2 groups were lower than before surgery,and TSH was higher than before surgery,with statistical significance(P<0.05).Conclusion Both 2D laparoscopic surgery and 3D laparo-scopic surgery can effectively treat DTC patients,but both have a certain impact on the patient's thyroid function.However,3D lap-aroscopic surgery has a shorter surgical time and less intraoperative bleeding,which is worthy of clinical promotion.

Differentiated thyroid carcinoma3D laparoscopic surgeryPerioperative periodThyroid hormone

裴艳红、王永波、张勤

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450001 郑州大学第一附属医院

分化型甲状腺癌 3D腹腔镜手术 围术期 甲状腺激素

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(8)
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