微创腔镜小切口甲状腺手术与传统开放手术的疗效对照分析

Comparative Analysis of the Efficacy of Minimally Invasive Endoscopic Small Incision Thyroid Surgery and Traditional Open Surgery

目的对比微创腔镜小切口甲状腺手术与传统开放手术的应用效果。方法方便选取2016年3月—2019年2月收治的76例甲状腺切除患者,按随机数字表法分成甲组和乙组,每组38例。甲组行微创腔镜小切口切除术,乙组行传统开放式切除术。对比两组并发症发生情况、术后疼痛、住院时间、切口满意度及治疗前、后生活质量。结果甲组术后并发症发生率5.26%,明显低于乙组的23.68%(χ2=5.210,P<0.05);甲组术后12 h疼痛得分(4.82±0.69)分,明显低于乙组(5.33±0.76)分(t=3.063,P<0.05);甲组术后24 h疼痛得分(3.57±0.71)分,明显低于乙组(4.23±0.92)分(t=3.501,P<0.05);甲组术后48 h疼痛得分(2.82±0.72)分,明显低于乙组(3.56±0.89)分(t=3.985,P<0.05);甲组住院时间(4.52±1.13)d,明显短于乙组(5.58±1.34)d(t=3.728,P<0.05);甲组切口满意度得分(9.12±0.66)分,明显高于乙组(7.23±0.97)分(t=9.930,P<0.01);甲组治疗前生活质量得分(62.89±10.57)分,与乙组(63.85±11.39)分差异无统计学意义(t=0.381,P>0.05);甲组治疗后生活质量得分(129.65±15.76)分,明显高于乙组(102.37±18.19)分(t=6.987,P<0.01)。结论与传统开放手术相比,微创腔镜下切口甲状腺手术能有效降低并发症,减轻患者疼痛,缩短康复时间,改善生活质量。

Objective The effect of minimally invasive endoscopic small incision thyroid surgery was compared with that of traditional open surgery.Methods From March 2016 to February 2019,76 patients with thyroidectomy were convenient randomly divided into group A(n=38)and group B(n=38).Group A underwent minimally invasive small incision resection and group B underwent traditional open resection.The complications,postoperative pain,hospitalization time,incision satisfaction and quality of life before and after treatment were compared between the two groups.Results The incidence of postoperative complications was 5.26%in group A and 23.68%in group B(χ2=5.210,P<0.05);the pain score of group A(4.82±0.69)points 12 h after operation was significantly lower than that of group B(5.33±0.76)points(t=3.063,P<0.05);the pain score in group A was(3.57±0.71)points 24 h after operation,which was significantly lower than that in group B(4.23±0.92)points(t=3.501,P<0.05);the pain score in group A(2.82±0.72)points 48 h after operation was significantly lower than that in group B(3.56±0.89)points(t=3.985,P<0.05);the hospitalization time in group A was(4.52±1.13)d,which was significantly shorter than that in group B(5.58±1.34)d(t=3.728,P<0.05);the score of incision satisfaction in group A(9.12±0.66)points was significantly higher than that in group B(7.23±0.97)points(t=9.930,P<0.05);the score of quality of life in group A was(62.89±10.57)points,which was not significantly different from that in group B(63.85±11.39)points(t=0.381,P>0.05);the score of quality of life in group A(129.65±15.76)points was significantly higher than that in group B(102.37±18.19)points(t=6.987,P<0.05).Conclusion Compared with traditional open surgery,minimally invasive endoscopic thyroidectomy can effectively reduce complications,reduce pain,shorten rehabilitation time and improve quality of life.