内镜下甲状腺良性肿瘤切除术的疗效观察

Research on the efficacy of endoscopic resection of thyroid benign tumor

目的观察内镜下甲状腺良性肿瘤切除术的疗效。方法60例甲状腺良性肿瘤患者随机分为内镜组和传统组，每组各30例。比较两组的手术时间、失血量、引流量、术后住院时间、术后并发症、住院费用等。结果两组术后住院时间差异（P〉0．05）；内镜组失血量（25．3±15．6）m1，明显少于传统组的（57．2±33．8）ml（P〈0．05）；内镜组术后引流量（85．6±53．2）ml，明显多于传统组（23．5±37．2）ml（P〈0．05）；内镜组手术时间为（105．3±23．5）min，与传统组（80．4±25．3）min比较差异有统计学意义（P〈0．05）；住院费用内镜组明显高于传统组（P〈0．05）。两组术后均未发生明显并发症。结论与传统开放手术相比，良性甲状腺肿瘤的内镜手术具有美容、出血少等优点，是治疗该疾病一种很好的选择。

Objective To observe the efficacy of endoscopic resection wiht thyroid benign tumor. Methods 60 cases of thyroid benign tumor were randomly divided into the endoscopic group and the traditional group, 30 cases in each group, the operation time, blood loss, drainage volume, postoperative hospital stay, postoperative complications and hospitalization expenses in two groups were compared. Results There was no significant difference （ P 〉 0. 05 ） between the two groups of postoperative hospital stay; endoscopic group blood loss （25.3± 15.6） ml significantly less than the traditional group （57. 2± 33.8） ml, the difference was statistically significant （P 〈 0. 05） ; endoscopic postoperative drainage volume （85.6 ± 53. 2） ml significantly more than the traditional group （23.5 ± 37.2） ml （P〈0. 05） ; endoscopic operative time of （ 105.3 ± 23.5） min, while the traditional group （80.4 ± 25.3 ） min, the difference was significant （ P 〈 0. 05 ） ; hospitalization costs were significantly higher than conventional endoscopy group （ P 〈 0. 05 ）. Both groups were not have obvious complications postoperation. Conclusion Compared with traditional open surgery, endoscopic surgery for benign thyroid tumors has advantages of superior cosmetic results and less bleeding,it is a good choice for the treatment of the disease.