腹腔镜辅助颈部小切口手术治疗甲状腺肿瘤的临床效果

Clinical effect of laparoscopic-assisted small neck incision operation on thyroid tumor

目的分析腹腔镜辅助颈部小切口手术治疗甲状腺肿瘤的临床效果。方法选取本院2017年6月至2019年8月收治的110例甲状腺肿瘤患者为研究对象,根据治疗方法的不同将其分为对照组和试验组,每组55例。对照组采用传统开放性甲状腺手术治疗,试验组采用腹腔镜辅助颈部小切口手术治疗。比较两组的治疗效果。结果试验组的各项临床症状发生率、复发率、并发症总发生率均低于对照组,治疗总有效率高于对照组(P<0.05)。试验组手术时间及住院时间短于对照组,术中出血量少于对照组,切口满意度高于对照组(P<0.05)。手术24 h后,试验组的IL-6、TNF-α及CRP水平低于对照组(P<0.05)。结论相较于传统开放性甲状腺手术,腹腔镜辅助颈部小切口手术治疗甲状腺肿瘤效果显著,可降低复发风险,显著提升治疗安全性,且能够保证良好的切口愈合情况,达到安全、有效、美观的效果。

Objective To analyze the clinical effect of laparoscopic-assisted small neck incision operation on thyroid tumor.Methods A total of 110 patients with thyroid tumor admitted to our hospital from June 2017 to August 2019 were selected as the study objects.According to different treatment methods,the patients were divided into control group and experimental group,with 55 cases in each group.The control group was treated with traditional open thyroid surgery,while the experimental group was treated with laparoscopic-assisted small neck incision operation.The therapeutic effects of the two groups were compared.Results The incidences of clinical symptoms,recurrence rate and total incidence of complications in the experimental group were lower than those in the control group,while the total effective rate of treatment was higher than that in the control group(P<0.05).The operation time and hospital stay of the experimental group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the incision satisfaction was higher than that of the control group(P<0.05).At 24 h after operation,the levels of IL-6,TNF-α and CRP in the experimental group were lower than those in the control group(P<0.05).Conclusion Compared with traditional open thyroid surgery,laparoscopic-assisted small neck incision operation in the treatment of thyroid tumor has a significant effect,which can reduce the risk of recurrence,significantly improve the treatment safety,ensure good incision healing,and achieve a safe,effective and beautiful effect.