全乳晕入路甲状腺腔镜手术与传统开放性手术对比分析

The contrast analysis of endoscopic thyroidectomy by complete areola approach and conventional open thyroidectomy

目的:比较全乳晕入路甲状腺腔镜手术与传统开放性手术临床疗效。方法:回顾性分析我院2014-12-2015-12期间全乳晕入路甲状腺腔镜手术与传统开放性手术患者共112例,观察2组在手术时间、术中出血量、术后总引流量、切口瘢痕形成率和患者满意度情况,并对临床疗效进行比较。结果:全乳晕入路甲状腺腔镜手术组在术中出血量、术后总引流量、切口瘢痕形成率和患者满意度方面明显优于传统开放性手术,差异有统计学意义(P<0.05)。结论:全乳晕入路甲状腺腔镜手术用于甲状腺结节切除手术效果较好,具有术中出血量少,术后总引流量少,切口瘢痕不明显以及患者满意度较高等优点,值得临床广泛推广。

Objective：To compare the clinical efficacy between the endoscopic thyroidectomy by complete areola approach and the conventional open thyroidectomy.Method：One hundred and twenty-one cases of endoscopic thyroidectomy by complete areola approach or conventional open thyroidectomy patients were reviewed retrospectively,whose operation time,median blood lose,volume of postoperative drainage,incision scar formation rate and patient satisfaction were observed and compared.Result：There were obvious advantages in the median blood lose,volume of postoperative drainage,incision scar formation rate and patient satisfaction in the group of endoscopic thyroidectomy by complete areola approach comparing conventional open thyroidectomy.The difference was statistically significant（P〈0.05）.Conclusion：The method of endoscopic thyroidectomy by complete areola approach is obviously better,which has many advantages,such as Less bleeding,less volume of wound drainage and small skin incision scar.The patients were satisfied with the treatment.It is worthy of clinical application.