原发性甲状腺功能亢进症内镜与开放手术的临床对比研究

Clinical contrast of primary hyperthyroidism after two different subtotal thyroidectomy

目的从术后并发症发生的角度,探讨内镜手术治疗原发性甲状腺功能亢进症是否安全可靠。方法2005年4月～2007年2月在该院接受传统开放手术(OT)或内镜手术(ET)的原发性甲状腺功能亢进症患者各30例,分析比较两组手术时间、术中出血量、术后并发症情况及术后4个月动态检查甲状腺激素水平,做统计分析。结果ET组和OT组在术中出血量(t=2.55,P=0.016<0.05)、术后住院时间(t=5.08,P=0.000<0.01)、切口美容满意度(t=-9.80,P=0.000<0.05)、切口引流量(t=-16.85,P=0.000<0.01)及引流天数(t=-26.72,P=0.000<0.01)方面差异有统计学意义;其余方面差异无统计学意义。结论内镜手术治疗原发性甲状腺功能亢进症安全有效,但其安全性的正确评价,需要中长期随访和更多的临床病例。

【Objective】From the complication after operation,to discuss the safety of endoscopic thyroidectomy of primary hyperthyroidism.【Method】To compare and analyse the operative hemorrhage,complication after opera-tion,satisfaction of incision of 60 patients of primary hyperthyroidism accepted open thyroidectomy or endoscopic thyroidectomy from 2005.4 to 2007.3.【Results】In the group ET and OT,the statistics was significantly different in operative hemorrhage(t = 2.55,P = 0.016<0.05),length of stay of postoperat...