经口腔入路腔镜甲状腺手术的效果

The Effect of Endoscopic Thyroidectomy Through Transoral Approach

目的研究经口腔入路腔镜甲状腺手术的临床应用效果。方法选取行经口腔入路腔镜手术的甲状腺良性肿瘤患者21例为口腔入路组,采用配对原则选取同期行常规开放手术的甲状腺良性肿瘤患者21例及行胸乳入路腔镜手术的甲状腺良性肿瘤患者21例作为对照,对比观察3组患者手术时间、术中出血量、术后疼痛VAS评分、颈部活动时间、住院时间、并发症发生率及切口满意度等情况。结果口腔入路组手术时间明显长于胸乳入路组(P<0.05);口腔入路组术中出血量、术后疼痛VAS评分、颈部活动时间、住院时间、并发症发生率及切口满意度均优于常规开放组相应指标(P<0.05),而口腔入路组切口满意度亦明显高于胸乳入路组(P<0.05)。结论经口腔入路腔镜甲状腺手术安全、有效,患者创伤小、患者痛苦小、术后恢复快、并发症少、切口满意度高。

Objective To study the clinical effect of transoral endoscopic thyroidectomy. Methods 63 patients were divided into 3 groups according to paired principle,which were selected from the Fuyong People’s Hospital and the First Affiliated Hospital of Jinan University （ Guangzhou Overseas Chinese Hospital） between January 2011 to June 2014;21 patients were treated by oral endoscopic surgical approach as the research group,21 patients were treated by routine thy-roid surgery as the control group 1,21 patients were treated by concomitant areola approach endoscopic thyroid surgery as the control group 2. All clinical data were analyzed,the clinical indicators of three groups were observed. Results The operation time of the research group was obviously longer than that the control group 2 （P〈0. 05）;The research group with intraoperative bleeding volume,postoperative pain VAS score,cervical activity time,hospitalization time,incidence of com-plications and incision satisfaction were superior than the control group 1 （P〈0. 05）,while the incision satisfaction of the research group was obviously higher than the control group 2 （P〈0. 05）. Conclusion The oral approach endoscopic thyroid surgery is safe,effective,with less trauma,less pain,faster recovery,fewer complications,the incision satisfaction is high,and it is worth promoting.