经胸乳入路腔镜甲状腺手术与传统甲状腺手术的疗效比较分析

Comparison of Curative Effect between Transthoracic Thyroidectomy and Traditional Thyroid Surgery

目的比较经胸乳入路腔镜甲状腺手术与传统甲状腺手术的疗效。方法选择该院于2014年1月—2018年1月收治的72例甲状腺疾病患者,采用奇偶法将根据患者意愿随机分成观察组和对照组,每组36例患者。予以观察组患者经胸乳入路腔镜甲状腺手术,予以对照组患者传统甲状腺手术。比较两组患者手术使用的时间、出血量、拔管时间,疼痛感,住院时间和并发症情况,采用VAS疼痛评分。结果观察组患者的手术时间、出血量、住院时间和并发症情况均优于对照组患者,观察组患者的相关数据为(100.34±22.45)min、(45.45±15.34)m L、(3.23±1.34)天,并发症:1例低钙性抽搐患者。对照组相关数据为(130.32±30.34)min、(82.37±12.35)m L、(7.35±1.43)d,并发症:4例声音沙哑、6例低钙性抽搐、4例饮水咳嗽。观察组患者治疗后的VAS评分低于对照组患者,两组比较差异有统计学意义(P=0.0001)。结论经胸乳入路腔镜甲状腺手术治疗甲状腺疾病效果显著,在术中出血量、术后引流量、拔管时间、疼痛感、并发症术后均明显少于开放组,具有切口小、及美容效果。

Objective This paper tries to compare the curative effect of endoscopic thyroidectomy and traditional thyroid surgery. Methods 72 patients with thyroid disease who were admitted to this hospital from January 2014 to January 2018 were randomly divided into observation group and control group according to the patient’s will, with 36 patients in each group. Patients in the observation group underwent transthoracic breast endoscopic thyroidectomy and were subjected to conventional thyroid surgery in the control group. The time of operation, bleeding, extubation time, pain,length of hospital stay, and complications were compared between the two groups. The VAS pain score was used. Results The operative time, blood loss, length of hospital stay, and complications of the observation group were better than those of the control group. The relevant data for the observation group were（100.34 ±22.45）minutes,（45.45±15.34）m L,（3.23 ±1.34）days. Complications： 1 case of hypocalcemic convulsions. The relevant data in the control group were（130.32±30.34）minutes,（82.37±12.35）m L, and（7.35±1.43）days. Complications included 4 cases of hoarseness, 6 cases of hypocalcemia convulsions, and 4 cases of drinking cough. The VAS scores after treatment in the observation group were lower than those in the control group. The difference between the two groups was statistically significant（P=0.0001）. Conclusion Transthoracic breast endoscopic thyroidectomy was effective in treating thyroid diseases. The amount of intraoperative blood loss, postoperative drainage, extubation time, pain, and postoperative complications were significantly less than those in the open group, with small incisions and beauty effect.