腔镜外科手术治疗甲状腺肿瘤的临床效果及安全性探究

Clinical Effect and Safety of Endoscopic Surgery for Thyroid Tumor

目的:分析观察腔镜外科手术治疗甲状腺肿瘤的临床效果与安全性。方法:选择2018年4月~2019年4月本院接诊的甲状腺肿瘤患者84例。按照接诊时间先后将患者分为两组,对照组与观察组均有42例。对照组患者采取传统开放性手术治疗,观察组患者实行胸入路腔镜手术。对比分析两组患者临床治疗效率。结果:分析比较两组患者术中出血量、切口长度以及住院时间,观察组患者各项时间指标均优于对照组,数据差异P<0.05,符合统计学意义;对比两组患者术后VAS评分,观察组患者术后1d、术后3dVAS评分低于对照组,数据对比P<0.05,具有统计学意义;且观察组患者并发症发生率低于对照组,差异P<0.05,统计学意义显著。结论:相比传统手术,腔镜外科手术治疗甲状腺肿瘤可取得较好效果,减轻患者术后疼痛,降低并发症产生。

Objective:To analyze and observe the clinical effect and safety of endoscopic surgery for thyroid tumor.Methods:From April 2018 to April 2019,84 patients with thyroid tumor were selected.According to the time of reception,the patients were divided into two groups,42 cases in the control group and the observation group.The patients in the control group were treated with traditional open surgery,and the patients in the observation group were treated with thoracoscopic surgery.Comparative analysis of the two groups of patients with clinical treatment efficiency.Results:Analysis and comparison of intraoperative blood loss,incision length and length of stay in the two groups of patients,the observation group was better than the control group in all time indicators,the data difference P<0.05,in line with statistical significance;comparison of the two groups of patients postoperative VAS score The VAS scores of patients in the observation group were lower than those in the control group at 1 day and 3 days after the operation,and the data comparison was P<0.05,which was statistically significant;and the incidence of complications in the observation group was lower than that of the control group,the difference was P<0.05,which was statistically significant.Conclusion:Compared with traditional surgery,endoscopic surgery can achieve better results in the treatment of thyroid tumor,reduce postoperative pain and complications.