经胸乳入路腔镜甲状腺切除术在早期甲状腺癌治疗中的应用价值分析

Analysis of application value of endoscopic thyroidectomy via thorax and breast approach treatment of early thyroid carcinoma

目的：探讨经胸乳入路腔镜甲状腺切除术在早期甲状腺乳头状癌治疗中的临床应用价值。方法选取2011年6月～2013年6月45例早期甲状腺乳头状癌患者，分为研究组与对照组，研究组患者经胸乳入路腔镜甲状腺手术治疗，对照组则予以传统开放甲状腺手术，分析对比两组患者的治疗效果。结果两组患者手术时间、术中出血量、术后引流量、术后住院时间的对比差异均无统计学意义（P＞0.05），均未出现严重并发症。结论经胸乳入路腔镜甲状腺手术在治疗早期甲状腺癌时疗效与开放性甲状腺手术相当，且不会在颈部产生明显瘢痕影响美观，具有安全性、可行性，临床推广应用价值较高。

Objective To study the clinical application value of endoscopic thyroidectomy via thorax and breast approach in the treatment of early thyroid carcinoma. Methods 45 patients with papillary thyroid carcinoma,who were selected from June 2011 to June 2013,were divided into study group which were treated with endoscopic thyroidectomy via thorax and breast approach and control group which were treated with traditional thyroid surgery.To analyze and to compare the clinical efficacy of the two groups. Results The difference of operation time,intraoperative blood loss,postoperative dralnage flow,and postoperative hospital stay didn＆#39;t had statistical significance between the groups.There was non severe complications of the two group. Conclusion Endoscopic thyroidectomy via thorax and breast approach in the treatment of early thyroid carcinoma has the equivalent clinical efficacy to traditional thyroid surgery,but doesn＆#39;t produce obvious scar of neck which affected beautiful to look at,has safety and feasibility,and is worthy of higher value of clinical application.