经腋窝入路腔镜甲状腺手术与传统开放性甲状腺手术的对比研究

Comparative Study of Transaxillary Endoscopic Thyroid Surgery and Traditional Open Thyroid Surgery

目的观察经腋窝入路腔镜甲状腺手术治疗效果。方法选取2013年6月-2017年8月100例甲状腺手术患者,随机分为观察组与对照组,各50例,对照组行开放性手术,观察组行经腋窝入路腔镜甲状腺切除手术治疗,比较两组疗效。结果手术时间对比,观察组为(122.94±50.48)min,长于对照组的(84.82±17.30)min﹙t=5.052,P<0.05﹚;观察组术中出血量、住院时间分别为(30.41±17.48)mL、(3.98±0.93)d,均低于对照组的(87.01±43.98)m L、(4.81±1.62)d﹙t=8.457、3.147,P<0.05﹚;疗效对比,观察组(98.0%)高于对照组(84.0%)﹙χ^2=7.030,P<0.05﹚。结论经腋窝入路腔镜甲状腺手术,治疗效果较好,值得推广。

Objective To observe the therapeutic effect of laparoscopic thyroid surgery through axillary approach.Methods 100 patients with thyroid surgery from June 2013 to August 2017 were randomLy divided into observation group and control group,each with 50 cases.The control group underwent open surgery,and the observation group underwent axillary endoscopic thyroidectomy,compare the efficacy of the two groups.Results Comparison of operation time,the observation group was(122.94±50.48)min,which was longer than the control group(84.82±17.30)min﹙t=5.052,P<0.05﹚;the intraoperative blood loss and hospital stay were(30.41±17.48)mL and(3.98±0.93)d,which were lower than(87.01±43.98)m L and(4.81±1.62)d in the control group﹙t=8.457,3.147,P<0.05﹚;compared with the efficacy,the observation group(98.0%)was higher than the control group(84.0%)﹙χ^2=7.030,P<0.05﹚.Conclusion The axillary approach for endoscopic thyroid surgery has better treatment effect and is worth popularizing.