腔镜辅助颈部小切口手术与传统甲状腺手术治疗甲状腺良性肿瘤的临床效果比照探讨

Comparison of the Clinical Effects of Endoscopic-assisted Neck Small Incision Surgery and Traditional Thyroid Surgery in the Treatment of Thyroid Benign Tumors

目的比较甲状腺良性肿瘤应用腔镜辅助颈部小切口手术与传统甲状腺手术治疗的临床效果。方法选取2018年3月—2019年9月该院收治的50例甲状腺良性肿瘤患者,随机进行对组研究,即对照组与观察组,每组25例。对照组采用传统甲状腺手术治疗,观察组采用腔镜辅助颈部小切口手术治疗。观察并对比两组患者的手术相关指标及术后并发症情况。结果观察组的手术时间(47.20±10.60)min长于对照组(39.50±13.19)min,差异有统计学意义(t=2.275,P=0.027);住院时间(3.30±0.92)d、切口长度(20.45±1.32)cm均短于对照组的(4.50±1.00)d、(85.23±6.65)cm,差异有统计学意义(t=4.416、47.775,P<0.05);术中出血量(9.60±4.25)mL、术后引流量(26.40±7.35)mL均少于对照组的(25.20±5.85)mL、(46.60±8.30)mL,差异有统计学意义(t=10.787、9.110,P<0.05);切口瘢痕满意率(100.00%)高于对照组(60.00%),差异有统计学意义(χ^2=12.500,P<0.05)。观察组的术后并发症(12.00%)明显低于对照组(36.00%),差异有统计学意义(χ^2=3.947,P=0.047)。结论相比传统开放性手术,甲状腺良性肿瘤应用腔镜辅助颈部小切口手术治疗具有更明显的优势,美容效果令人满意。

Objective To compare the clinical effects of endoscopic-assisted small neck incision surgery and traditional thyroid surgery for benign thyroid tumors.Methods Selected 50 patients with benign thyroid tumors admitted to the hospital from March 2018 to September 2019,and conducted a randomized study,namely the control group and the observation group,with 25 cases in each group.The control group was treated with traditional thyroid surgery,and the observation group was treated with endoscope-assisted small neck incision surgery.Observe and compare the operation-related indicators and postoperative complications of the two groups of patients.Results The operation time of the observation group(47.20±10.60)min was longer than that of the control group(39.50±13.19)min,the difference was statistically significant(t=2.275,P=0.027);hospitalization time(3.30±0.92)d,incision length(20.45±1.32)cm were shorter than the control group(4.50±1.00)d,(85.23±6.65)cm,the difference was statistically significant(t=4.416,47.775,P<0.05);intraoperative blood loss(9.60±4.25)mL,postoperative drainage(26.40±7.35)mL were less than the control group(25.20±5.85)mL,(46.60±8.30)mL,the difference was statistically significant(t=10.787,9.110,P<0.05);the satisfaction rate of incision scars(100.00%)was higher than that of the control group(60.00%),the difference was statistically significant(χ^2=12.500,P<0.05).The postoperative complications of the observation group(12.00%)were significantly lower than those of the control group(36.00%),the difference was statistically significant(χ^2=3.947,P=0.047).Conclusion Compared with traditional open surgery,the application of endoscopic-assisted small neck incision surgery for benign thyroid tumors has more obvious advantages,and the cosmetic effect is satisfactory.