经胸骨前径路腔镜下甲状腺切除术的疗效及可行性分析

Analysis of efficacy and feasibility path of endoscopic thyroidectomy before sternum

目的：探讨经胸骨前径路腔镜下甲状腺切除术的治疗效果和可行性。方法从本院2010年12月～2014年8月收治的行甲状腺切除术患者中随机选择100例进行研究，随机分为两组，分别实施常规开放式手术治疗和经胸骨前径路腔镜下治疗。观察两组患者的治疗效果，并进行比较。结果两组在手术时间和住院天数方面差异无统计学意义（均P＞0.05），但在住院费用、术中出血以及术后引流、并发症方面，观察组则显著优于对照组（均P＜0.05）。术后3个月，调查患者对手术外观恢复情况的满意度，最终的满意率比较，观察组显著高于对照组（P＜0.05）。结论经胸骨前径路腔镜下实施甲状腺切除术可以获得良好的治疗效果，且术中出血少，术后并发症发生率低，是一种安全可行的治疗手段。

Objective To explore the feasibility and effect of anterior chest approach endoscopic thyroidectomy. Methods 100 cases of patients with thyroidectomy in our hospital from December 2010 to August 2014 were selected, and were divided into two groups. All of the patients were given conventional open operation treatment and the anterior chest approach endoscopic treatment. The effect of the two groups were observed and compared. Results Two groups in operation time and hospital stay was not significantly different （P〉0.05）, but at the cost of hospitalization, intraoperative bleeding and postoperative drainage, complications, the observation group was significantly better than the control group （P〈0.05）.3 months after operation, patients on recovery of operation appearance satisfaction, compare the final satisfaction rate, the observation group was significantly higher than that in control group （P〈0.05）. Conclusion The anterior chest approach endoscopic thyroidectomy implementation can obtain good therapeutic effect, and less bleeding, lower incidence of postoperative complications, it is a safe and feasible treatment method.