胸乳入路腔镜甲状腺切除术与开放甲状腺手术治疗甲状腺疾病的疗效比较

目的:比较腔镜甲状腺切除术与开放甲状腺手术治疗甲状腺疾病的临床疗效。方法:收集2011年1月~2012年12月在我院行5甲状腺良性肿瘤手术的50例患者,其中,腔镜甲状腺手术25例,传统开放甲状腺手术25例。比较两组患者的手术时间、术中失血量、术后疼痛评分、术后住院时间、术后引流量、引流天数、住院费用、术后美容满意度、术后并发症。结果:两组患者的手术时间、术后疼痛评分、术后住院时间、术后引流量和引流天数差异无统计学意义(P】0.05)。内镜组患者术中出血量明显少于开放组,住院费用明显高于开放组,术后美容满意情况明显好于开放组,差异有统计学意义(P【0.05)。结论:胸乳入路腔镜甲状腺切除术是安全、有效的治疗甲状腺疾病的方法,相比传统开放手术,其具有更加令人满意的美容效果,对适应症明确者,是值得推崇的手术方式。

Objective:To campare the clinical efficency of endoscopic thyroidectomy by breast approach with conventional open thyroidectomy in patients with thyroid diseases.Methods :From Jan 2011 to Dec 2012,there was 50 cases implemented thyroidectomy,25 cases were underwent endoscopic thyroidectomy,and 25 cases were underwent conventional open thyroidectomy. The operating time,blood loss,postoperative pain assessment,hospital stay after operation, postoperative drainage,drainage days,hospital cost, postoperative cosmetic results and postoperative complications among the two groups were compared. Results : There was no significant differences in operation time,postoperative pain assessment, hospital stay after operation, postoperative drainage,drainage days between the two groups. As compared with the open group,endoscopic group had less blood loss,superior cosmetic scores,but cost more than the open group。 Conclusions:Endoscopic thyroidectomy by breast approach is safe and effective and has more desiresd cosmetic effect than open thyroidectomy. Endoscopic thyroidectomy should be exemplary of the surgery for a clear indication of the patients.