目的 对比经胸乳途径腔镜下甲状腺手术与传统甲状腺手术的疗效,观察患者对两种术式的认可度.方法 回顾本院2019年9月-2021年1月收治的74例甲状腺良性肿瘤患者的临床资料,按手术入路分传统组(30例)和经胸乳组(44例),传统组均按传统术式完成甲状腺切除,经胸乳组均经胸乳入路行腔镜下甲状腺切除.比较2组手术耗时、术中出血量、术后引流量、住院天数、疼痛程度、并发症发生情况和手术满意度.结果 2组患者均顺利完成既定手术,除术后引流量2组间无统计学差异外,经胸乳组患者的手术耗时、术中出血量、住院天数、VAS评分均优于传统组,差异有统计学意义(74.40 ±9.35min VS 112.20±12.45 min,35±5mL VS 70±9mL,4.75±1.23d VS 10.20±1.78d,3.25±0.56 VS 6.42±1.22,P均＜0.05).传统组并发症发生率高于经胸乳组,差异有统计学意义(20.00％VS 4.55％,P＜0.05).经胸乳组患者的满意度明显高于传统组,差异有统计学意义(72.73％VS 60.00％,P＜0.05).结论 与传统甲状腺切除手术比较,经胸乳组胸乳入路腔镜下甲状腺切除术式具有手术时间短、出血量少、患者恢复快、切口美观、患者满意度高等优点,值得推广应用.
Efficacy and methodology of endoscopic thyroid surgery
Objective To compare the efficacy of endoscopic thyroid surgery through the chest and breast approach and traditional thyroid surgery,and observe the patient's acceptance of the two surgical methods.Methods The clinical data of 74 patients with benign thyroid tumors admitted to our hospital from September 2019 to January 2021 were reviewed.According to the surgical approach,the patients were divided into traditional group(30 cases)and transthoracic group(44 cases).The traditional group completed thyroidectomy according to the traditional approach,while the transthoracic group performed endoscopic thyroidectomy through the breast and chest approach.Compared the surgical time,intraoperative bleeding volume,postoperative drainage volume,length of hospital stay,degree of pain,incidence of complications and surgical satisfaction between the two groups.Results Both groups of patients successfully completed the scheduled surgery.There was no statistical difference in postoperative drainage volume between the two groups.The surgical time,intraoperative blood loss,hospitalization days and VAS scores better than those in the traditional group,and the differences were statistically significant(74.40±9.35 minutes VS 112.20±12.45 minutes,35±5mL VS 70±9mL,4.75±1.23d VS 10.20±1.78 days,3.25±0.56 VS 6.42±1.22,all P＜0.05).The incidence rate of complications in the traditional group was higher than that in the transthoracic group,and the difference was statistically significant(20.00％VS 4.55％,P＜0.05).The satisfaction of patients in the transthoracic group was significantly higher than that in the traditional group,and the difference was statistically significant(72.73％VS 60.00％,P＜0.05).Conclusions Compared with traditional thyroidectomy,transthoracic thyroidectomy has the advantages of short surgical time,less blood loss,quick recovery,beautiful incision and high patient satisfaction,which is worth promoting and applying.
benign thyroid tumorthrough the chest and breast approachendoscopic thyroid surgerypatient satisfaction
万方数据
维普
