腹腔镜手术与传统开放手术治疗甲状腺肿瘤临床疗效的对比研究

Prospective randomized controlled study about treatment for patients with thyroid tumor by using laparoscope and patent operation

目的:探讨腹腔镜下甲状腺切除的可能性与安全性。方法:选择本院2003年12月～2010年6月本科行腔镜下甲状腺切除术112例,行开放手术56例(对照组),腹腔镜手术56例(观察组)。观察两组患者临床疗效和术后并发症等指标。结果:两组患者的手术时间、术后住院时间比较差异有统计学意义(P<0.05),术中出血量、术后近期并发症比较差异无统计学意义(P>0.05)。结论:腔镜下甲状腺切除术安全、可靠具有极佳的美容效果。

Objective： To discuss the clinical possibility and safety of laparoscopic surgery. Methods： Hyroidectomy with laparoscope was performed in 112 patients, in our hospital from December 2003 to June 2010, 56 cases underwent open surgery（control group）, and 56 cases underwent laparoscopic surgery（ observation group）. The differences of the postoperative complications and clinical efficacy were compared. Results： The laparoscopic thyroidectomy was successfully carried out in 112 cases. No significant difference of the blood loss and postoperative complications between the two groups was observed （P0.05）. The post operative hospital stay and the operative time were significantly different （P0.05）. Conclusion： Laparoscopic thyroidectomy is a safe and effective method with fine cosmetic result.