完全腔镜下甲状腺癌根治术与传统开放手术在甲状腺癌治疗中的应用效果

Application effect of complete endoscopic thyroidectomy and traditional open surgery in thyroid cancer

目的研究甲状腺癌治疗中完全腔镜下甲状腺癌根治术与传统开放手术的应用效果。方法选取86例于2016年2月至2017年6月入院的甲状腺癌患者作为研究对象,按照随机数字表法分为对照组和研究组,每组43例。对照组选用传统开放手术治疗,研究组选用完全腔镜下甲状腺癌根治术治疗,比较两组疗效。结果与对照组比较,研究组围手术期并发症、喉返神经损伤和甲状腺功能损伤总发生率更低,住院时间更短,手术时间更长,术中出血量、术后引流量更少,术后24 h VAS评分更低(P<0.05)。结论甲状腺癌治疗中,完全腔镜下甲状腺癌根治术的应用效果优于传统开放手术,可减少患者术中出血量、术后引流量,降低围手术期并发症、喉返神经损伤和甲状腺功能损伤发生率,还可缩短住院时间,缓解疼痛。

Objective To study the application effect of complete endoscopic thyroidectomy and traditional open surgery in thyroid cancer. Methods A total of 86 hospitalized patients with thyroid cancer from February 2016 to June 2017 were selected as the research objects and divided into control group and study group according to random number table, with 43 cases in each group. The control group was treated with traditional open surgery, and the study group was treated with complete endoscopic thyroidectomy. The treatment effects of the two groups were compared. Results Compared with the control group, there were lower total incedences of periperative compalications and recurrent larygeal nerve injury and thyriod function injury, shorter hospital stay, longer operation time, less intraoperative blood loss and postoperative drainage and lower VAS score at 24 h after surgery in the study group（P〈 0.05）. Conclusion Complete endoscopic thyroidectomy has better application effect than the traditional open surgery, which can reduce the intraoperative blood loss and postoperative drainage, decrease the incedences of periperative compalications and recurrent larygeal nerve injury and thyriod function injury, and it can shorten hospital stay and relieve pain.