腔镜治疗甲状腺乳头状微小癌的疗效评估

Evaluation of the curative effect of endoscopic thyroidectomy for micropapillary carcinomas

目的探讨腔镜治疗甲状腺乳头状微小癌的疗效和临床价值。方法回顾性分析2008年3月-2012年6月在我科接受治疗的62例甲状腺乳头状微小癌患者的临床资料。观察腔镜组与常规手术组治疗甲状腺乳头状微小癌的临床效果和并发症,并进行对比分析。结果腔镜组手术时间较常规手术组长[(112.00±12.96)min vs(60.33±7.12)min,P=0.04)]。腔镜组住院时间较常规手术组长,差异有统计学意义(P=0.006)。而两组在甲状旁腺的保留、引流量、引流时间方面比较,差异无统计学意义(P>0.05)。术后并发症比较:两组患者在局部并发症如出血,血肿,声带麻痹,损伤邻近器官如气管、食管方面差异无统计学意义(P>0.05)。结论腔镜治疗甲状腺乳头状微小癌与常规开放手术治疗效果相当,且美容效果佳,值得提倡。

Objective To investigate the curative effect and clinical value of endoscopic thyroidectomy for micropapillary carcinomas.Methods A retrospective analysis was used to analyze the clinical data of 62 patients with micropalliary thyroid carcinoma treated in our department from March 2008 to June 2012,clinical results and complications of the endoscopic thyroidectomy group and the open group were observed and comparatively analyzed.Results The operating time of the endoscopic group was（112.00±12.96） min,which was longer than the open group [（60.33±7.12） min]（P = 0.04）.Average length of stay of the endoscopic group were longer than those of the open group,which had significant differences（P = 0.006）.There were no difference in the preservation of parathyroid gland,the amount of drainage,and the time of the drainage between the two groups（P 0.05）.Compared the complications after the surgery,there were no differences in the hemorrhage,hematoma,vocal cord palsy,tracheoesophageal injury between the two groups（P 0.05）.Conclusion For the treatment of micropalliary thyroid carcinoma,there are no differences between endoscopic thyroidectomy and open operation.Endoscopic thyroidectomy has the advantage of better cosmetic results,which is worth recommending.