经乳晕入路腔镜与开放甲状腺切除术治疗良性甲状腺病变的效果比较

Comparison of endoscopic thyroidectomy via the breast areola approach and open thyroidectomy in benign thyroid lesions

目的探讨良性甲状腺病变行开放甲状腺切除术及乳晕入路腔镜甲状腺切除术治疗的有效性。方法选择2015年1月～2017年12月我院收治的160例良性甲状腺病变患者为观察对象,所有患者均行甲状腺次全切除术治疗,将患者按住院单双号进行分组,其中观察组82例采用乳晕入路腔镜手术治疗,对照组78例采用开放手术治疗,观察比较不同术式的治疗效果,以及术中、术后各指标情况。结果观察组患者的住院时间、手术时间短于对照组,术中出血量、引流量少于对照组,组间比较差异均有统计学意义(P<0.05);两组并发症发生率比较,观察组为3.7%低于对照组的11.5%,差异有统计学意义(P<0.05)。结论甲状腺良性病变行经乳晕入路腔镜甲状腺切除术治疗的临床效果显著,术中出血量少,手术时间短,且并发症少,术后恢复快,值得临床推广。

Objective To analyze the clinical effectiveness of open thyroidectomy and endoscopic thyroidectomy via the breast areola approach in benign thyroid lesions.Methods160benign thyroid lesions patients undergoing the subtotal thyroidectomy from January2015to December2017in our hospital were selected.The subjects were assigned to observation group(n=82)and control group(n=78)according to the odd or even hospital bed number.The observation group took the endoscopic thyroidectomy via the breast areola approach;the control group took the open thyroidectomy.The therapeutic effect,operation conditions and postoperative recovery conditions were explored.Results The observation group had the shorter hospitalization time and operation time,lower bleeding volume and drainage volume(P<0.05);the incidence rate of postoperative complications in the observation group(3.7%)was significantly lower than control group(11.5%)(P<0.05).Conclusion The endoscopic thyroidectomy via the breast areola approach can effectively remove the lesions,reduce the incidence rate of complications,promote the fast recovery,shorten the operation time and decrease the bleeding volume.