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

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