经乳晕切口全腔镜下甲状腺肿瘤切除手术的临床应用研究

Clinical application study of total laparoscopic thyroid tumor resection through areola incision

目的研究经乳晕切口全腔镜下甲状腺肿瘤切除手术的临床应用价值。方法选取2018年1月至2020年12月江西省宜春市人民医院普外三病区收治的102例甲状腺肿瘤患者作为研究对象,采用随机数字表法将其分为对照组与观察组,每组各51例。对照组患者采用开放甲状腺切除术,观察组患者采用经乳晕切口全腔镜下甲状腺肿瘤切除术。比较两组患者的手术基本情况、并发症总发生率、术后7 d美容效果。结果观察组患者的切口长度小于对照组,手术时间长于对照组,术中出血量少于对照组,术后引流量多于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。观察组患者的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者的术后7 d美容效果评分高于对照组,差异有统计学意义(P<0.05)。结论经乳晕切口全腔镜下甲状腺肿瘤切除手术较开放甲状腺切除术可减少并发症的发生,提高美容效果。

Objective To study the clinical application value of total laparoscopic thyroid tumor resection through areola incision.Methods From January 2018 to December 2020,102 patients with thyroid tumors admitted to the three general wards of the People′s Hospital of Yichun City,Jiangxi Province were selected as the research objects,and they were divided into the control group and the observation group by random number table method,with 51 cases in each group.Patients in the control group underwent open thyroidectomy,and patients in the observation group underwent full laparoscopic thyroid tumor resection through the areola incision.The basic conditions of the operation,the total incidence of complications,and the cosmetic effect of 7 days after the operation were compared between the two groups.Results The incision length of the observation group was shorter than that of the control group,the operation time was longer than that of the control group,the blood loss during operation was less than that of the control group,the postoperative drainage volume was much than that of the control group,and the hospital stay was shorter than that of the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The cosmetic effect score of the observation group was higher than that of the control group on the 7 days after operation,and the difference was statistically significant(P<0.05).Conclusion Compared with open thyroidectomy,total laparoscopic resection of thyroid tumor through areola incision can reduce the occurrence of complications and improve the cosmetic effect.