腔镜下孤立甲状腺结节切除术的临床分析

Clinical experiences of endoscopic thyroidectomy for solitary thyroid nodules

目的:探讨腔镜下甲状腺结节切除术的安全性和应用效果。方法:回顾性分析孤立甲状腺结节手术71例的临床资料,其中32例完全利用腔镜手术(腔镜组),传统手术方法39例(传统组)。结果:两组在术中出血、术后引流量、术后住院时间、术后并发症方面差异无统计学意义。两组在手术时间(112.4±33.7与81.2±21.5),住院花费(7.242与5.153),切口美容满意度(96.7%与21.3%)等方面差异有统计学意义。结论:腔镜行甲状腺结节切除术安全可靠,并具有切口美容效果好、术后恢复快等优点。

Objective To study the safety and advantage of endoscopic thyroidectomy for thyroid nodules.Method The clinical data of 71 patients undergoing thyroidectomy for solitary thyroid nodules between March 2005 and February 2009 were retrospectively reviewed,and 32 patients underwent endoscopic thyroidectomy,39 patients underwent conventional thyroidectomy.Results Bleeding during operation,drainage after operation,the hospital stay after operation and complications had no significant difference between the two groups（P0.05）,but the operation time,total hosptialization costs and cosmetic benefits had significant difference（P0.01）.Conclusion The endoscopic thyroidectomy is a good operation of safety,quickly recovery and cosmetic benefits.