Comparison of clinical application effects of complete endoscopic thyroidectomy combined with nano-carbon and traditional open surgery for thyroid cancer
Objective To compare the clinical application effects of complete endoscopic thyroidectomy combined with nano-carbon and traditional open surgery for thyroid cancer.Methods 112 patients with thyroid cancer were divided into a control group and a study group according to different surgical regimens,with 56 cases in each group.The control group was treated with traditional open surgery for thyroid cancer,while the study group was treated with complete endoscopic thyroidectomy combined with nano-carbon.The clinical surgical situation,immune function,inflammatory index and incidence of postoperative complications were compared between the two groups.Results The study group had surgical time of(138.29±10.38)min and hospital stay of(6.21±1.14)d,which were shorter than(145.98±15.48)min and(8.79±1.26)d of the control group;the intraoperative bleeding volume was(47.23±9.82)ml in the study group,which was less than(70.29±13.83)ml in the control group;the number of lymph node dissection was(6.23±1.14)nodes in the study group,which was higher than(4.58±1.49)nodes in the control group(P<0.05).After surgery,the study group had C-reactive protein(CRP)of(3.42±2.09)mg/L,interleukin-6(IL-6)of(2.55±0.73)ng/ml,and white blood cell count(WBC)of(9.31±0.26)×109/L,which were lower than(4.69±2.31)mg/L,(3.17±0.89)ng/ml,and(9.96±0.48)×109/L in the control group(P<0.05).After surgery,CD8+was(31.32±2.31)%in the study group,which was lower than(36.64±3.25)%in the control group;the study group had CD4+of(45.63±6.16)%and CD4+/CD8+of(1.37±0.34),which were higher than(38.85±5.19)%and(1.03±0.27)in the control group(P<0.05).The incidence of postoperative complications in the study group was 3.57%,which was lower than 17.86%in the control group(P<0.05).Conclusion Compared with traditional open surgery for thyroid cancer,complete endoscopic thyroidectomy combined with nano-carbon can significantly increase the number of detected lymph nodes,reduce surgical bleeding,shorten hospital stay,and significantly reduce postoperative inflammatory response,which is conducive to postoperative recovery.
Complete endoscopic thyroidectomyTraditional open surgery for thyroid cancerThyroid cancer
万方数据
维普
