腔镜与开放手术治疗低危甲状腺乳头状癌的临床分析

Comparative analysis of endoscopic and open therapy for low-risk papillary thyroid carcinoma

目的对比分析腔镜与开放手术治疗低危甲状腺乳头状癌患者的疗效。方法分析2014年3月至2016年11月东莞市人民医院普外科手术治疗的63例低危甲状腺乳头状癌患者的临床资料。对比腔镜组和开放组患者的手术效果及术后并发症情况。结果腔镜组与开放组患者在手术时间、出血量、术后总引流量、中央区淋巴结清扫数目、住院时间等方面比较,差异无统计学意义(均P>0.05)。两组患者在术后出血、声音嘶哑、饮水呛咳、低钙血症、胸壁积液等方面比较,差异亦无统计学意义(均P>0.05)。结论腔镜治疗低危甲状腺乳头状癌患者安全有效,对于有美容要求的患者可进行腔镜治疗。

Objective To compare the clinical efficacy of endoscopic and open therapy for low-risk thyroid papillary carcinoma. Methods The clinical data of 63 patients with low-risk thyroid papillary carcino- ma who underwent surgical treatment in the authors＇ affiliated hospital from March 2014 to November 2016 were analyzed retrospectively. The operative results and postoperative complications were compared between the endo- scopic group and the open group. Results There were no significant differences in operation time, bleeding volume, total postoperative drainage volume, number of lymph node dissection in central area, and the length of hospital stays between the endoscopic group and the open group （ P 〉 0. 05 ）. There was also no statistical differ- ence in bleeding, hoarseness, drinking cough, hypocalcemia and pleural effusion in the two groups （P 〉 0. 05）. Conclusions Endoscopic treatment in patients with low-risk papillary thyroid carcinoma is safe and ef- fective. This method can be clinically applicated for patients with cosmetic requirements.