腔镜辅助颈部小切口手术与传统开放手术治疗甲状腺良性肿瘤的对比分析

Endoscope-assisted Neck Surgery via A Small Incision Versus Conventional Open Surgery in the Treatment of Benign Thyroid Tumor

目的 观察采用腔镜辅助颈部小切口手术治疗甲状腺良性肿瘤的临床效果。方法整群选取该院2012年4月—2014年12月收治的128例甲状腺良性肿瘤患者作为研究对象,随机分为观察组和对照组各64例,对照组采用传统开放性手术,观察组采用腔镜辅助颈部小切口手术。比较两组患者手术时间、术中出血量以及住院时间,统计术后并发症出现情况和患者住院期间满意度。结果观察组患者手术时间、术中出血量以及住院时间均明显少于对照组患者,差异有统计学意义(P<0.05);观察组术后并发症总发生率为3.1%显著少于对照组的12.5%,差异有统计学意义(P<0.05);观察组患者满意度为95.3%高于对照组的76.6%,差异有统计学意义(P<0.05)。结论通过采用腔镜辅助颈部小切口手术治疗甲状腺良性肿瘤患者,疗效确切,安全可靠,并提高了患者满意度,值得临床推广应用。

Objective To observe the clinical effect of endoscope-assisted neck surgery via a small incision in the treatment of benign thyroid tumor. Methods 128 cases with benign thyroid tumor admitted in our hospital from April, 2012 to December 2014 were selected as the subjects and randomized into the observation group and the control group with 64 cases in each. Conventional open surgery was used by control group and endoscope-assisted neck surgery via a small incision was adopted by observation group. The duration of procedure, intraoperative blood loss and length of stay in the two groups were compared. A statistics was made on the occurrence of postoperative complications and level of patients＇ satisfaction in hospitalization. Results The duration of procedure was much shorter, intraoperative blood loss was obviously less and length of stay was significantly shorter in the observation group than that in the control group respectively with statistically significant difference（P〈0.05）. The overall occurrence rate of postoperative complications was much lower in the observation group than that in the control group（3.1% vs 12.5%）, the difference was statistically significant（P〈0.05）. The level of patients＇ satisfaction was much higher in the observation group than that in the control group（95.3% vs 76.6%）, the difference was statistically significant（P0.05）. Conclusion For the treatment of benign thyroid tumor, endoscope-assisted neck surgery via a small incision is safe and reliable with exact effect, it improves the level of patients＇ satisfaction, so it is worthy of clinical popularization and application.