颈部入路与胸乳入路腔镜甲状腺手术的疗效分析

Comparison between Video-assisted Approach and Areola of Breast Approach in Endoscopic Thyroidectomy

目的:本研究旨在分析比较颈部入路与胸乳入路腔镜甲状腺手术的疗效差异。方法:选取我院行经颈部入腔镜甲状腺手术患者104例和同期采用行经胸乳入路腔镜甲状腺手术患者136例患者为研究对象,分析比较两组患者的临床治疗效果。结果:与颈部入路组相比,胸乳入路腔镜甲状腺手术组的手术时间较长,术后引流量较大,瘢痕满意度较高,差异具有统计学意义(P<0.05);OSAS评分和PSAS评分颈部入路组显著低于胸乳入路组(P<0.05)。结论:与胸乳入路相比,颈部入路腔镜甲状腺手术安全性更高,但手术方案的设计,需根据患者意愿以及安全性综合考虑选择手术入路。

Objective：To compare the clinical efficacy of video-assisted thyroidectomy and areola of breast ap-proach in endoscopic thyroidectomy. Methods：104 patients underwent endoscopic thyroidectomy by video-assisted ap-proach and 136 patients underwent areola of breast approach were retrospectively analyzed. The therapeutic efficacy wascompared between the two groups.Results：Compared with video-assisted approach group,the operation time was lon-ger,the volume of drainage after operation was larger and scar satisfaction was higher in patients underwent areola ofbreast approach,and the differences were statistically significant（P〈0.05）. OSAS score and PSAS score in endoscopicapproach group were significantly lower than areola of breast group（P〈0.05）. Conclusion：Compared with areola ofbreast approach,endoscopic thyroidectomy through video-assisted approach is safe and feasible. But the design of surgi-cal options should consider the choice of surgical approach in accordance with safety and the wishes of patients.