腔镜与开放式甲状腺手术的临床对照研究

Comparative study of endoscopic and open thyroidectomy

目的:比较腔镜与传统开放式甲状腺手术的临床效果。方法:对66例腔镜和57例开放式甲状腺手术的临床资料进行比较,指标为手术时间、出血量、术后住院时间及术后并发症等。结果:两组的年龄、性别、病种等无明显差异,平均手术时间腔镜组为(178.3±32.4)min、开放组为(145.8±27.1)min,平均出血量腔镜组为(19.1±12.4)ml、开放组为(44.6±18.6)ml,2组差异有统计学意义(P<0.01)。结论:腔镜甲状腺手术安全、可靠,与传统开放式手术相比具有切口小、不影响美观等优点。

Objective：To compare the therapeutic effect between endoscopic thyroidectomy and open thyroidectomy.Methods：One hundred and twenty-three patients were randomly divided into two groups.The first group with 66 patients were carried out endoscopic thyroidectomy,and the second group with 57 paitents was carried out open thyroidectomy.Clinical features including operation time,complications,hospitalization were compared between two groups.Results：The average operative time was （178.3±32.4）min in endoscopic group and （145.8±27.1）min in open group（P〈0.05）,the mean operative blood loss was （19.1±12.4）ml in endoscopic group and （44.6±18.6）ml in open group（P〈0.01）,the average hospitalization after operation was （4.1±1.4）days and（4.0±1.9） days（P〉0.05）,the complication rate was 4.5% in endoscopic group and 8.8% in open group（P〈0.01）.Conclusions：Endoscopic thyroidectomy is safe and effective,with the advantage of less operative blood loss and lower complication rate.