内镜甲状腺切除术与传统甲状腺切除术的对比研究

Comparative study of endoscopic thyroidectomy and traditional thyroidectomy

目的探讨内镜甲状腺切除术的要点、可行性及临床价值。方法对我院38例甲状腺腺瘤患者随机分为内镜甲状腺切除术组（观察组）及传统甲状腺切除术组（对照组）。结果两组所有患者均顺利完成手术，术后恢复良好，无术后呼吸困难等并发症。观察组除手术时间比对照组相对较长外，其他如术中出血量、住院时间、疼痛评分、美容效果评价等均优于对照组，差异有统计学意义（P〈0．05）。结论内镜甲状腺切除术不仅能达到创伤小、美容效果好的目的，而且术中出血少、术后疼痛轻、住院时间短，是治疗甲状腺疾病安伞、有效的手术方法．

Objective To discussion the endoscopic thyroidectomy main points, feasibility and clinical value of the endoscopic thyroidectomy. Methods Thirty-eight thyroid adenoma patients were analyzed by retrospective analysis method, the patients were randomly divided into endoscopic thyroidectomy group （observation group） and the traditional thyroidectomy group （control group）. Results All patients were successfully completed surgery, postoperative recovery was good, no postoperative complications such as breathing difficulties occurred. Bleeding volume, duration of hospitalization, pain score, beauty cosmetic evaluation of observation group were better than these of the control group, the difference between the groups was significant （P 〈 0. 05 ）. Conclusion Endoscopic thyroidectomy can not only achieve minimally invasive surgery purpose, but also have advantages. Such as less bleeding, less postoperative pain, shorter hospitalization time, it is a safe and effective method for treatment of thyroid diseases.