经胸乳入路腔镜甲状腺手术、低位小切口手术与传统甲状腺切除手术的临床疗效观察

Clinical observation of endoscopic thyroidectomy,low incision thyroidectomy and traditional thyroidectomy

目的探究经胸乳入路腔镜甲状腺手术(BAET)、低位小切口手术(LIO)与传统甲状腺切除手术(TT)的临床疗效。方法回顾性分析2019年1月至2019年10月行甲状腺手术的98例患者临床资料,按手术方式分为三组,A组(31例)行BAET,B组(33例)行LIO,C组(34例)行TT。采用统计软件SPSS22.0处理数据,采用χ^(2)检验比较术后并发症等计数资料;采用单因素方差分析比较三组间围术期各项指标、VAS评分和切口美容评分等计量资料:P<0.05为差异有统计学意义。结果手术时间B组<C组<A组,术中出血量B组<A组<C组,拔管时间、术后引流量、住院时间A组<B组<C组,差异有统计学意义(均P<0.05)。术后3 d VAS评分A组<B组<C组;切口美容评分A组>B组>C组,住院费用A组>B组>C组,差异有统计学意义(均P<0.05)。结论BAET、LIO较TT的临床疗效好,且BAET美容效果最好,但费用最高。

Objective To explore the clinical outcome of Endoscopic Thyroidectomy via Breast Approach(ETBA),Low Incision Operation(LIO)and Traditional Thyroidectomy(TT).Methods The clinical data of 98 patients underwent thyroidectomy from January 2019 to October 2019,were analyzed retrospectively.According to the operation method,98 patients were divided into three groups:group A receiving ETBA(31 cases),group B receiving LIO(33 cases),and group C receiving TT(34 cases).Statistical analysis were performed by using SPSS22.0 software.Count data such as postoperative complications were analyzed by usingχ^(2) test.Measurment data such as perioperative indicators,VAS scores and cosmetic scores were analyzed by using single-factor variance analysis.A P value of<0.05 was considered as statistically significant difference.Results The operation time ranked as group B<group C<group A(P<0.05),intraoperative blood loss ranked as group B<group A<group C(P<0.05),extubation time,postoperative drainage,and hospital stay ranked as group A<group B<group C(P<0.05).Three days after operation,the VAS score ranked as group A<group B<group C(P<0.05);the incision cosmetic scores ranked as group A>group B>group C,(P<0.05),and the hospitalization expense ranked as group A>group B>group C(P<0.05).Conclusion ETBA and LIO have better clinical outcome than TT,and ETBA has the best cosmetic effect,but the highest cost.