传统开放式甲状腺手术与微创喉内镜甲状腺手术的疗效比较

Comparison of efficacy of traditional open thyroid operation and minimally invasive laryngeal endoscopic thyroid operation

目的：比较传统开放式甲状腺手术与微创喉内镜甲状腺手术的临床疗效以及并发症。方法选取甲状腺疾病的患者80例，按照随机数字表法分为Ⅰ组和Ⅱ组，每组40例，其中Ⅰ组给予微创喉内镜甲状腺手术，Ⅱ组给予传统开放式甲状腺手术，比较两组手术时间、术中出血量、术后引流量、住院时间以及并发症。结果Ⅰ组手术时间、住院时间分别为（63．1±0．2） min、（5．7±0．6） d，显著短于Ⅱ组的（90．4±1．1）min、（8．4±0．2）d；Ⅰ组术中出血量、术后引流量分别为（19．2±0．9）mL、（30．4±2．6）mL，显著少于对照组的（42．1±1．8） mL、（46．2±1．2） mL，两组差异均有统计学意义（t＝9．819、12．168、11．182、9．928，均P＜0.05）；Ⅰ组并发症发生率（2．5％）显著低于Ⅱ组（15．0％），差异有统计学意义（χ^2＝13．197，P ＜0．05）。结论微创喉内镜甲状腺手术具有创伤小、手术时间短，术后恢复快的优点。

Objective To compare the curative effect and complication of traditional open thyroid operation and minimally invasive laryngeal endoscopic thyroid operation.Methods 80 cases with thyroid disease were randomly divided into group I and groupⅡof 40 cases in each group,the group Ⅰ received the minimally invasive laryngeal endoscopic thyroid operation, while the Ⅱ group was treated with traditional open thyroid operation.The operation time,intraoperative amount of bleeding,postoperative drainage,hospitalization time and complications of two groups were compared.Results The operation time,hospitalization time of groupⅠwere （63.1 ±0.2）min,（5.7 ±0.6）d, which were significantly shorter than those of the control group[（90.4 ±1.1） min,（8.4 ±0.2） d].Amount of bleeding,postoperative drainage volume after operation in groupⅠwere （19.2 ±0.9） mL,（30.4 ±2.6） mL,which were significantly less than those of the control group[（42.1 ±1.8）mL,（46.2 ±1.2）mL] （t=9.819,12.168, 11.182,9.928,all P 〈0.05）;The incidence of postoperative complications of group Ⅰ was 2.5%,lower than 15.0%of groupⅡ,the difference was statistically significant between the two groups（χ^2 =13.197,P 〈0.05）. Conclusion Minimally invasive laryngeal endoscopic thyroid operation has advantages in little trauma,short opera-tion time,rapid postoperative recovery.