腔镜与开放术式在甲状腺微小乳头状癌外科治疗中的疗效比较

Therapeutic evaluation of endoscopic and open thyroidectomy for papillary thyroid microcarcinoma

目的评价腔镜与开放两种术式在甲状腺微小乳头状癌外科治疗中的疗效,探讨腔镜在甲状腺微小乳头状癌外科治疗中的可行性。方法收集郑州大学第一附属医院2016年6月-2017年1月间收治的98例病理学确诊的甲状腺微小乳头状癌患者临床资料,按照手术方式分为腔镜组46例,开放组52例。对两组患者的术后并发症和清扫淋巴结数量等资料进行统计学分析。结果两组患者术后出现声音嘶哑、饮水呛咳和低钙血症并发症的发生率相比差异无统计学意义(P=0.699 3,0.914 1,0.581 9);腔镜组患者清扫淋巴结平均数量为(5.06±3.20)枚,开放组患者清扫淋巴结平均数量为(4.80±3.19)枚,两组差异无统计学意义(P=0.696 7)。结论腔镜与开放术式对甲状腺微小乳头状癌的疗效相当,但腔镜术式美容效果更佳。

Objective To evaluate the curative effects of endoscopic and open thyroidectomy for papillary thyroid microcarcinoma so as to explore the feasibility of endoscopic operation for papillary thyroid microcarcinoma.Methods We made a retrospective analysis of data of98cases of papillary thyroid microcarcinoma diagnosed pathologically between June2016and January2017in the First Affiliated Hospital of Zhengzhou University.All the patients were divided into two groups:52in traditional operation group and46in endoscopic operation group.We analyzed the complications and the number of lymph nodes in the two groups.Results There was no significant difference in complications like voice hoarseness,hydroposia bucking and hypocalcemia between the two groups(P=0.6993,0.9141,0.5819,respectively).Each patient had(5.06±3.20)and(4.80±3.19)lymph nodes in endoscopic operation group and traditional operation group,respectively.No significant difference was found between the two groups(P=0.6967).Conclusion The traditional operation and endoscopic operation have similar curative effects for papillary thyroid microcarcinoma,and the latter has better cosmetic effects.