腔镜小切口手术和传统甲状腺手术对结节性甲状腺瘤的治疗效果对比分析

Comparative analysis of endoscopic small incision surgery and traditional thyroid surgery for the treatment of nodular thyroid tumors

目的探索腔镜小切口手术和传统的甲状腺手术用于结节性甲状腺瘤治疗的效果。方法 86例结节性甲状腺瘤患者,根据手术方法不同分为传统组(42例)和微创组(44例)。传统组患者行传统的开放性手术治疗,微创组患者行完全腔镜小切口手术治疗,对比两组患者的手术指标、术后恢复指标及术后并发症发生情况。结果微创组患者的手术时间长于传统组,术中出血量明显少于传统组,切口长度短于传统组,差异具有统计学意义(P<0.01)。微创组患者的术后并发症发生率4.55%低于传统组的19.05%,差异具有统计学意义(P<0.05)。微创组患者的术后第1天引流量少于传统组,术后24 h视觉模拟评分法(VAS)评分低于传统组,住院时间短于传统组,差异具有统计学意义(P<0.01)。结论完全腔镜小切口手术治疗结节性甲状腺瘤疗效确切,能有效促进患者术后康复,避免颈部瘢痕产生造成的美观影响。

Objective To investigate the effect of endoscopic small incision surgery and traditional thyroid surgery for the treatment of nodular thyroid tumors. Methods A total of 86 patients with nodular thyroid tumors were divided by different surgical methods into traditional group（42 cases） and minimally invasive group（44 cases）. The traditional group received traditional open surgical treatment, and the minimally invasive group received complete endoscopic small incision surgery. Comparison were made on surgical indicators, postoperative recovery index and occurrence of postoperative complications between the two groups. Results The minimally invasive group had longer operation time than traditional group, less intraoperative bleeding volume than traditional group, and shorter incision length than traditional group. Their difference was statistically significant（P〈0.01）. The minimally invasive group had lower incidence of postoperative complications as 4.55% than 19.05% in the control group, and the difference was statistically significant（P〈0.05）. The minimally invasive group had less drainage volume in postoperative 1 d than the traditional group, lower visual analogue scale（VAS） in postoperative 24 h than the traditional group, and shorter hospitalization time than traditional group. Their difference was statistically significant（P〈0.01）. Conclusion Complete endoscopic small incision surgery provides affirmative efficacy in treating nodular thyroid tumors, and it can effectively promote postoperative rehabilitation and avoid effect of caused by the appearance of scars.