喉内镜与开放式甲状腺手术的临床对比研究

Comparative study of endoscopic and open thyroidectomy

目的:比较喉内镜甲状腺手术与传统开放式甲状腺手术的临床效果。方法:对52例内镜和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、住院时间及术后并发症发生率等。结果:2组的年龄、性别、病种等无明显差异,平均手术时间内镜组为(105.1±30.2)min、开放组为(145.3±27.4)min,平均出血量内镜组为(7.5±4.2)ml、开放组为(48.6±18.6)ml,术后平均住院时间内镜组为(4.1±1.4)d,开放组为(8.0±1.9)d,术后并发症发生率内镜组为5.8%、开放组为8.8%,2组差异均有统计学意义(均P<0.01)。结论:内镜甲状腺手术安全、可靠,与传统开放式手术相比具有切口小、美观,术中出血量少和术后并发症发生率低等优点。

Objective：To compare the therapeutic effect between endoscopic thyroidectomy and open thyroidectomy.Method：One hundred and nine patients were randomly divided into two groups.The first group with 52 patients were carried out endoscopic thyroidectomy;and the second group with 57 paitents was carried out open thyroidectomy.Clinical features including operation time,operative blood loss,hospitalization and complications were compared between the two groups.Result：The average operative time was（105.1±30.2）min in endoscopic group and（145.3±27.4）min in open group（P0.01）;the mean operative blood loss was（7.5±4.2）ml in endoscopic group and（48.6±18.6）ml in open group（P0.01）;the average hospitalization after operation was（4.1±1.4） days and（8.0±1.9） days（P0.01）,the complication rate was 5.8% in endoscopic group and 8.8% in open group（P0.01）.Conclusion：Compared to the traditional open surgery,endoscopic thyroidectomy is safe and effective,with advantages in terms of the aesthetic property,the amount of bleeding and the postoperative complications.