胸乳晕入路胸腔镜下甲状腺癌根治术治疗甲状腺癌的疗效观察

Breast areola into the road under thoracoscopy thyroid cancer radical mastectomy treatment curative effect observation of thyroid cancer

目的:观察胸乳晕入路胸腔镜下甲状腺癌根治术治疗甲状腺癌的疗效。方法:选取60例甲状腺癌患者,随机分为胸腔镜组及传统组,其中胸腔镜组为经胸乳晕入路胸腔镜下行甲状腺癌根治术,传统组为开放手术,观察及对比两组方法在术中及术后的情况。结果:两组患者均经相应的手术方法行甲状腺癌根治术,其手术时间上无统计学差异,但在术中出血量、术后引流天数、及术后住院时间,胸腔镜组明显要比传统组要短、要少,胸腔组的术后并发症发生率3.33%明显比传统组中的10%要低得多。在术后第1、3天,胸腔镜组的疼痛评分明显比传统组中的要低(P<0.05)。结论:经胸乳晕入路胸腔镜下甲状腺癌根治术治疗甲状腺癌,其创伤小、出血量少、恢复快、住院时间短,且具有良好的美容效果,是行甲状腺癌手术的理想入路选择。

objective: to observe the breast areola approach under thoracoscope treatment the curative effect of thyroid carcinoma. Thyroid cancer radical Method:select 60 patients with thyroid cancer,were randomly divided into thoracoscope group and traditional group,the thoracoscope group for the breast areola approach, under thoracoscope of thyroid cancer radical open surgery for traditional group,observe and compare the two set of methods in the case of intraoperative and postoperative.Results:two groups of patients were the appropriate surgical method of thyroid carcinoma radical,there is no statistical difference of the operation time, intraoperative blood loss,but in the days,and postoperative length of hospital stay,postoperative drainage thoracoscope group significantly shorter,less than the traditional group,3.33% incidence of postoperative complications of thoracic cavity group was obviously better than traditional 10% is much lower in the group.On postoperative day 1,3,pain score of thoracoscope group was obviously lower than in the traditional group(P<0.05).Conclusion:the breast areola approach under thoracoscope treatment of thyroid cancer,thyroid cancer radical its small trauma,less blood loss,faster recovery,short hospital- ization time,and good cosmetic effect,is the ideal approach choice of thyroid cancer surgery.