全乳晕入路与胸乳入路腔镜双侧甲状腺手术临床效果比较

Clinical efficacy comparison of the whole areola road and chest-breast endoscopic surgery on bilateral thyroid

目的比较甲状腺双侧良性病变患者行全乳晕入路腔镜术与胸乳入路腔镜术治疗效果。方法将34例双侧甲状腺良性病变的患者分为对照组和治疗组,每组17例。治疗组行全乳晕入路腔镜术,对照组行胸乳入路腔镜术,对比分析2组患者完成手术时间、术中平均出血量、术后引流时间、术后持续性疼痛时间、恢复进食时间、围手术期并发症及对术后瘢痕的满意率。结果接受治疗后,2组患者在完成手术时间、术中平均出血量、术后引流时间、术后持续性疼痛时间、恢复进食时间及围手术期并发症等方面比较,差异均无统计学意义(P>0.05);对术后瘢痕的满意率治疗组明显优于对照组,差异有统计学意义(P<0.05);术后随访3～12个月,2组均未发现明显并发症或复发。结论全乳晕入路腔镜术与胸乳入路腔镜术在治疗甲状腺双侧良性病变患者中,全乳晕入路腔镜术具有治疗甲状腺病变瘢痕隐蔽的优势,值得临床推广应用。

Objective To compare the clinical efficacy of the whole areola road and chest-breast endoscopic surgery on bilateral thyroid. Methods Thirty-four cases with bilateral thyroid benign lesion were divided into control group and treatment group,17 cases in each group.The treatment group was given the whole areola road endoscopic surgery while the control group was received chest-breast endoscopic bilateral thyroid surgery.The completing operation time,mean intraoperative blood loss,postoperative drainage time,the time of persistent pain after surgery,recovery time of eating,perioperative concurrent disease and the satisfaction rate of postoperative scar were compared between the two groups. Results After the treatment,there was no significant difference in the completing operation time,mean intraoperative blood loss,postoperative drainage time,the time of persistent pain after surgery,recovery time of eating and perioperative concurrent disease between the two groups（P0.05）;the satisfaction rate of postoperative scars in the treatment group was higher than the control group（P0.05）;the two groups were followed up for 3-12 months,the concurrent diseases or recurrent lesions were not found. Conclusion The whole areola road has the advantage of scars hidden for the treatment on thyroid disease,and it should be applied in clinic.