经胸乳径路腔镜手术与传统手术治疗甲状腺良性疾病疗效比较

Comparison of therapeutic effect of the endoscopic thyroidectomy by breast approach and conventional thyroidectomy in the treatment of benign thyroid disease

目的:比较经胸乳径路腔镜甲状腺手术与传统甲状腺手术治疗甲状腺良性疾病的临床效果。方法:选取甲状腺良性疾病患者60例,其中25例采用经胸乳径路腔镜甲状腺手术(腔镜组),35例采用传统甲状腺手术(传统组)。比较2组手术时间、术中出血量、术后引流量、住院时间、住院费用和术后并发症。结果:2组患者的术后引流量和住院时间差异均无统计学意义(P>0.05)。腔镜组手术时间明显长于传统组(P<0.01),术中出血量显著少于传统组(P<0.01),而住院费用明显高于传统组(P<0.01)。腔镜组中3例患者术后出现声音嘶哑,于术后2个月恢复正常。结论:经胸乳径路腔镜甲状腺切除术是一种安全、微创的手术方式,虽然费用较高,但值得在特定人群中推广。

Objective： To compare the clinical effects of the endoscopic thyroidectomy by breast approach and conventional thyroidectomy in the treatment of benign thyroid disease. Methods： Among 60 patients with benign thyroid disease,20 cases were treated with the endoscopic thyroidectomy by breast approach（ endoscopy group）,35 cases were treated with conventional thyroidectomy（ convention group）. The operative time,intraoperative blood loss,postoperative drainage flow,hospitalization time and cost,and postoperative complications between two groups were compared. Results： The postoperative drainage flow and hospitalization time between two groups were not statistically significant（ P〉0. 05）. The operative time,intraoperative blood loss and hospitalization cost in endoscopy group were longer,less and higher than those in conventional group,respectively（ P〈0. 01）. Three cases with hoarseness in endoscopy group were found after operation,who recovered after two months of operation. Conclusions： The endoscopic thyroidectomy by breast approach is a safe and minimally invasive method,which is worth popularizing in specific populations.