经乳晕入路腔镜甲状腺切除术治疗甲状腺良性肿瘤的临床效果

Clinical effect of endoscopic thyroidectomy via areola approach in the treatment of thyroid benign tumor

目的探讨经乳晕入路腔镜甲状腺切除术治疗甲状腺良性肿瘤的临床效果。方法选择2018年9月至2019年12月我科收治的56例甲状腺良性肿瘤患者,根据手术方式的不同将其分为腔镜组(经乳晕入路腔镜甲状腺切除术)和开放组(传统开放手术),各28例。比较两组的治疗效果。结果腔镜组的手术时间、术后引流时间短于开放组,术中出血量少于开放组(P<0.05)。术后1、2、3 d,腔镜组的VAS评分均低于开放组(P<0.05)。腔镜组的术后并发症总发生率低于开放组(P<0.05)。结论经乳晕入路腔镜甲状腺切除术治疗甲状腺良性肿瘤的创伤小、出血少、疼痛轻、恢复快,值得推广。

Objective To investigate the clinical effect of endoscopic thyroidectomy via areola approach in the treatment of thyroid benign tumor.Methods From September 2018 to December 2019,56 patients with thyroid benign tumor treated in our department were selected.According to the different surgical methods,the patients were divided into endoscopic group(endoscopic thyroidectomy via areola approach)and open group(traditional open surgery),with 28 cases in each group.The therapeutic effects of the two groups were compared.Results The operation time and postoperative drainage time of the endoscopic group were shorter than those of the open group,and the amount of bleeding during operation was less than that of the open group(P<0.05).At 1,2,3 days after operation,the VAS scores of the endoscopic group were lower than those of the open group(P<0.05).The total incidence of postoperative complications in the endoscopic group was lower than that in the open group(P<0.05).Conclusion Endoscopic thyroidectomy via areola approach in thyroid denign tumor has minimally invasive,less bleeding,less pain and rapid recovery,which is worthy of promotion.