腔镜辅助颈部小切口手术与传统开放手术治疗甲状腺良性肿瘤的疗效比较

Comparison of laparoscopic assisted small incision in the neck surgery and traditional open surgical treatment of benign thyroid

目的：比较腔镜辅助颈部小切口手术与传统开放手术治疗甲状腺良性肿瘤的临床疗效，探究腔镜辅助颈部小切口手术的安全性、有效性。方法将100例甲状腺良性肿瘤患者按照随机数字表法分为对照组和观察组，每组各50例。其中观察组患者行腔镜辅助颈部小切口手术，对照组患者行传统开放手术治疗。观察并比较两组患者术后的疗效。结果观察组手术时间、住院时间、术中出血量、引流量、引流时间分别为（57．4±11．7）min、（3．2±1．0）d、（9．4±5．2）mL、（21．4±13．5）mL、（1．7±0．8）d，均优于对照组（t＝8.577、6．352、17．563、12．970、6．273，均P＜0．05）；观察组治疗后并发症总发生率为8％，明显低于对照组的30％（χ2＝7．86，P＜0．05）。结论腔镜辅助颈部小切口手术在甲状腺良性肿瘤中的疗效优于传统开放手术，是一种简单、有效、安全的手术方式，较传统开放手术而言，美容效果更佳，值得在临床广泛推广应用。

Objective To compare the neck incision laparoscopic assisted surgery and conventional open surgical treatment of thyroid benign clinical efficacy,and explore the small incision endoscopic assisted neck safety and effectiveness.Methods According to a random number table,100 patients with benign thyroid were randomly divided into the control group and observation group,50 cases in each group.The patients in the observation group were underwent endoscopic assisted small incision neck surgery,and the patients in the control group of traditional open surgery.The efficacy of postoperative of the two groups was observed and compared.Results The operative time,hospitalization time,blood loss,drainage,drainage time of the observation group was （57.4 ±11.7）min,（3.2 ± 1.0）d,（9.4 ±5.2）mL,（21.4 ±13.5）mL,（1.7 ±0.8）d,which were better than those of the control group（t=8.577,6.352,17.563,12.970,6.273,all P〈0.05）;The overall incidence of complications in the observation group after the treatment was 8%,which was significantly lower than 30% in the control group（χ2 =7.86,P〈0.05）. Conclusion Endoscopic surgery assisted small incision in the neck benign thyroid is superior to traditional open sur-gery,and is a simple,effective and safe surgical approach.Compared to traditional open surgery,it has better cosmetic results,which is worthy of clinical application.