乳晕入路腔镜甲状腺切除术与传统甲状腺切除术的临床效果对比

Comparsion on Clinical Effects of Endoscopic Thyroidectomy via Breast Areola Approach and Traditional Thyroidectomy

目的对比乳晕入路腔镜甲状腺切除术与传统甲状腺切除术的临床效果。方法选取我院2015年4月至2016年5月收治的90例患者,随机分为对照组和研究组各45例。对照组采用传统甲状腺切除术,研究组采用乳晕入路腔镜甲状腺切除术。观察两组患者的住院时间、引流量、出血量、手术时间、美容满意度评分及并发症情况。结果研究组的住院时间和手术时间均短于对照组,引流量和出血量均少于对照组,美容满意度评分高于对照组,差异均有统计学意义(P<0.05)。研究组的并发症发生率为6.67%,明显低于对照组的26.67%,差异有统计学意义(P<0.05)。结论乳晕入路腔镜甲状腺切除术可减少患者的出血量,缩短手术时间,加快术后恢复,能在一定程度上满足患者对美观的需求,值得推广。

Objective To compare the clinical effects of endoscopic thyroidectomy via breast areola approach and traditional thyroidectomy. Methods 90 cases of patients in our hospital from April 2015 to May 2016 were randomly divided into control group and study group, with 45 cases in each group. The control group received traditional thyroidectomy, while the study group received endoscopic thyroidectomy via breast areola approach. The hospitalization time, drainage volume, bleeding volume, operation time, cosmetic satisfaction score and complications of the two groups were observed. Results The hospitalization time and operation time of the study group was shorter than that of the control group, the drainage volume and bleeding volume was less than that of the control group, the cosmetic satisfaction score was higher than that of the control group, with statistical difference （P 〈0.05）. The incidence of complications of the study group was 6.67%, significantly lower than 26.67% of the control group, with statistical difference （P 〈0.05）. Conclusions Endoscopic thyroidectomy via breast areola approach can reduce the bleeding volume of patients, shorten the operation time, speed up the postoperative recovery, and meet patients＇ needs on the appearance to some extent, which is worthy of promotion.