腔镜下甲状腺根治术与开放性甲状腺根治术手术效果的对比研究

A comparative study of endoscopic thyroidectomy and open thyroidectomy

目的研究对比腔镜下与开放性甲状腺根治术对机体应激反应。方法选择2016年8月-2018年8月行甲状腺根治术的120例患者进行研究,随机分为观察组和对照组,各60例。对照组给予开放性甲状腺根治术治疗,观察组患者给予腔镜下甲状腺根治术治疗。对两组患者手术进行情况、美学满意度及并发症发生率等进行统计比较。结果观察组患者手术时间、手术切口大小、术中出血量、术后下床活动时间及住院时间低于对照组(P<0.05)。观察组总满意度为91.67%(55/60),高于对照组总满意度的76.67%(46/60),组间对比差异有统计学意义(P<0.05)。观察组并发症发生率为5.00%(3/60),对照组并发症发生率为16.67%(10/60),组间比较差异有统计学意义(P<0.05)。结论腔镜下甲状腺根治术创伤小、术后恢复快,并发症发生率低,安全性高,美学满意度高,值得临床推荐。

【Objective】 To study and compare the stress response of endoscopic thyroidectomy and open thyroidectomy.【Methods】A total of 120 patients who underwent radical thyroidectomy from August 2016 to August 2018 were randomly divided into observation group and control group, 60 cases in each group. The control group was treated with open thyroidectomy,while the observation group was treated with endoscopic thyroidectomy. The operation status, aesthetic satisfaction and complication rate of the two groups were compared.【Results】 The operation time,the size of operation mouth,the amount of bleeding during operation, the time of getting out of bed after operation and the time of hospitalization in the observation group were lower than those in the control group (P <0.05). The total satisfaction rate of the observation group was 91.67%(55/60), higher than that of the control group 【76.67%(46/60)】, and there was significant difference between the two groups (P <0.05). The incidence of complications was 5.00%(3/60) in the observation group and 16.67%(10/60) in the control group, and there was a significant difference between the two groups (P<0.05).【Conclusion】 Endoscopic thyroidectomy has the advantages of less trauma,rapid recovery, low incidence of complications, high safety and high aesthetic satisfaction, which is worthy of clinical recommendation.