微波消融和腹腔镜切除甲状腺良性结节的对比研究

Comparative study of microwave ablation and laparoscopic excision of benign thyroid nodules

目的对比超声引导下微波消融和腹腔镜下切除甲状腺良性结节的临床成效。方法对78例在2016年6月至2017年12月通过超声引导下细针穿刺细胞学或者粗针活检组织学二者中任意一种检查验证为甲状腺良性结节的临床资料展开回顾性分析,其中微波消融组与腹腔镜组分别为35例和43例,对2组患者的住院时间、手术时间、并发症出现概率、美容满意度以及医疗费用等进行对比。结果 2组的住院时间、手术时间、美容满意度差异有统计学意义(P<0.05);而医疗费用与并发症出现概率差异无统计学意义(P>0.05)。结论在治疗甲状腺良性结节之时,选用超声引导下微波方法不但操作便捷、实效性强、安全度高,而且恢复时间短、美容效果显著,值得临床推广应用。

Objective To compare the clinical effect of ultrasonic guided microwave ablation and laparoscopic excision of thyroid benign nodules. Methods A retrospective analysis of 78 cases from June 2016 to December 2017 after examination confirmed that ultrasound guided fine needle aspiration cytology or biopsy needle for benign thyroid nodules clinical data,including the microwave ablation group of 35 cases,43 cases of laparoscopic group. Hospitalization days,the time of operation,medical expenses,incidence of complications and beauty satisfaction were compared between the two groups. Results The hospitalization days,operation time,and beauty satisfaction of the two groups were statistically significant（P〈0.05）,the medical expenses and the incidence of complications were no significant difference（P〈0.05）.Conclusion Ultrasound guided microwave treatment of benign thyroid nodules is simple,safe,effective,quick recovery and good cosmetic effect. It is worthy of clinical application.