小切口腔镜辅助甲状腺切除术治疗分化型甲状腺癌的疗效观察

Observation of Mini-incision Video-assisted Thyroidectomy for Differentiated Thyroid Carcinoma

目的探讨小切口腔镜辅助甲状腺切除术治疗分化型甲状腺癌的疗效及安全性。方法根据手术方式将97例分化型甲状腺癌患者分为观察组(45例)与对照组(52例),观察组接受小切口腔镜辅助甲状腺切除术治疗,对照组接受传统开放手术治疗。结果观察组手术时间显著长于对照组,切口长度、术中出血量、术后引流量、术后拆线时间、术后住院时间显著低于对照组,差异均有统计学意义(P<0.01)。2组患者淋巴结清扫个数相比,差异无统计学意义(P>0.05)。2组患者低钙血症、切口感染、声音嘶哑发生率相比,差异无统计学意义(P>0.05);但观察组并发症总发生率显著低于对照组,差异有统计学意义(P<0.05)。结论小切口腔镜辅助甲状腺切除术治疗分化型甲状腺癌具有手术创伤小、恢复快、并发症发生率低等优点。

Objective To investigate the efficacy and safety of mini-incision video-assisted thyroidectomy in the treatment of differentiated thyroid carcinoma. Methods 97 cases of differentiated thyroid carcinoma were divided into the observation group（45 cases） and the control group（52 cases） according to their operation modes,and the observation group was given mini- incision video-assisted thyroidectomy,while the control group received traditional open surgery. Results The operation time in the observation group was obviously higher than that of the control group（ P 〈 0.05 ） ,while the length of incision, operative blood loss, postoperative drainage volume, time to remove stitches and postoperative hospital stay were obviously lower than those of the control group, respectively（ P 〈 0.01 ）, and no obvious difference was found in the number of lymph node dissection between the 2 groups（ P 〉 0.05）. There were no obvious differences in the incidences of hypocalcemia, incision infection and hoarseness between the 2 groups（P 〉 0. 05 ） , while the total complications rate in the observation group was obviously lower than that of the control group（P 〈 0.05 ）. Conclusion The mini-incision video-assisted thyroidectomy in the treatment of differentiated thyroid carcinoma shows some advantages, such as small surgical trauma, quick recovery, and low incidence of complications.