胸骨前径路腔镜甲状腺手术的临床效果

Clinical outcomes of endoscopic thyroid surgery via anterior sternal approach

目的比较胸骨前径路腔镜甲状腺手术与传统甲状腺手术的临床效果。方法单侧甲状腺良性疾病患者49例分为两组:A组,24例,在腔镜直视下手术;B组,25例,采用传统方法行甲状腺肿瘤切除术。记录并比较两组术中出血量、术后第1天引流量、住院时间、术后VAS疼痛评分、术后并发症以及术后3个月患者主观不适评价。结果 A组术中出血量、术后第1天引流量、住院时间和术后VAS疼痛评分均少于B组(P<0.05)。A组患者颈前感觉减退或异常、吞咽不适及美容满意度均优于B组(P<0.05)。结论腔镜甲状腺手术具有术中出血少、损伤小、术后疼痛轻、住院时间短、恢复快、美容效果好等优点。

Objective To compare the clinical outcomes of endoscopic thyroid operation with conventional operation of thyroid gland. Methods A total of 49 patients with unilateral thyroid benign disease was divided into two groups of A（thyroid surgery under endoscope, 24 cases） and B （conventional thyroid surgery,25 cases）. The operative blood loss, postoperative drainage on the first postoperative day, hospital stay, postoperative VAS pain score, postoperative complications and objective discomfort evaluation of the patients in postoperative 3 months were compared between two groups. Results The operative blood loss, postoperative drainage on the first postoperative day, hospital stay, postoperative VAS pain score were significantly less in group A than those group B （P〈0. 05）. The anterior cervical hypesthesia or abnormal and swallowing discomfort were less, cosmetic satisfaction was more in group A than those group B（P〈0. 05）. Conclusion Endoscopic thyroid operation has the advantages of less operative injury and bleeding, slighter postoperative pain, shorter hospital stay and earlier recovery.