腔镜辅助下甲状腺乳头状癌根治术的临床效果分析

Clinical effect analysis of endoscopic-assisted radical thyroidectomy in treatment of thyroid papillary carcinoma

目的考察腔镜辅助下甲状腺乳头状癌根治术的临床效果分析。方法选取2014年11月至2016年11月诊治的甲状腺乳头状癌患者67例,采取随机数字法分为腔镜辅助组(34例)和开放手术组(33例)。应用SPSS 19.0统计学软件进行统计学处理,术中及术后相关临床指标以(x珋±s)的形式表示,采用独立t检验;术后并发症的总发生率及术后疼痛程度以%表示,采用χ2检验,以P<0.05表示差异具有统计学意义。结果与开放手术组相比,腔镜辅助组的手术时间和术后引流量均显著增加,术中出血量和切口长度均显著降低,术后住院时间和颈部恢复活动时间均显著缩短,差异均具有统计学意义(P<0.05);腔镜辅助组术后并发症的总发生率为5例(14.7%),开放手术组术后并发症的总发生率为12例(36.4%),差异具有统计学意义(P<0.05);与开放手术组相比,腔镜辅助组的0级疼痛患者显著提高,Ⅱ级疼痛患者显著降低,差异均具有统计学意义(P<0.05)。结论腔镜辅助下微创术治疗甲状腺乳头状癌的临床效果较好,美观性强且安全性高,值得在临床上大力推广应用。

Objective To investigate the clinical effect analysis of endoscopic-assisted radical thyroidectomy in treatment of thyroid papillary carcinoma. Methods 67 cases of papillary thyroid cancer patients were collected in our hospital from November 2014 to November 2016,according to the random numbers methods,the patients were divided into endoscopic-assisted group（34 cases） and open surgery group（33 cases）. SPSS 19. 0 software was used for statistical analysis,intraoperative and postoperative relevant clinical indicators were presented as and examined by using t test; the incidence of complication and degree of pain after operation were presented as % and examined by chi square test. A P value of 0. 05 was considered as significant difference. Results Compared with the open surgery group,the operation time and post-operation drainage was both significantly increased,blood loss of the operation and length of incision was both significantly decreased,hospitalization time after operation and the neck recovery activity time was both significantly shorten of the endoscopic-assisted group,the difference was statistically significant（P〈0. 05）;The total incidence of complications after operation in the endoscopic-assisted group was 5 cases（14. 7%）,the total incidence of complications after operation in the open surgery group was 12 cases（36. 4%）,the difference was statistically significant（P〈0. 05）; Compared with the open surgery group,the pain of 0 grade patients were significantly increased,the pain of II grade patients were significantly decreased,the difference was statistically significant（P〈0. 05）. Conclusion Endoscopic-assisted minimally invasive surgery in treatment of papillary thyroid cancer has good clinical efficacy,aesthetics is powerful and security is high,it is worthy of being widely popularized in clinical application.