甲状腺良性疾病治疗中内镜手术与开放手术术后的临床疗效对比

Comparison of Clinical Efficacy between Endoscopic Surgery and Open Surgery in the Treatment of Benign Thyroid Diseases

目的对比观察甲状腺良性疾病治疗中予以开放手术、内镜手术的临床疗效。方法随机选取2019年1月—2022年1月在该院就诊的80例甲状腺良性疾病患者为研究对象,依据随机数字法分组,40例接受内镜手术治疗的患者被纳入治疗组,40例接受开放手术治疗的患者被纳入对照组,比较观察两组患者的手术效果。结果与对照组手术时间(84.05±23.15)min、术中出血量(60.30±18.40)mL、住院时间(7.05±0.65)d对比,治疗组患者手术时间(71.30±22.45)min明显较短,术中出血量(41.30±10.25)mL明显较少,住院时间(5.20±0.75)d明显较短,差异有统计学意义(t=2.501、5.705、11.789,P<0.05);与对照组27.50%对比,治疗组患者并发症总发生率5.00%明显较低,差异有统计学意义(χ^(2)=7.440,P=0.006);与对照组(3.97±0.66)分、(5.74±0.90)分比较,治疗组术后4、12 h的VAS评分(2.12±0.58)分、(2.90±0.72)分明显较低,差异有统计学意义(t=13.317、15.584,P<0.001);与对照组80.00%对比,治疗组患者美容总满意度97.50%明显较高,差异有统计学意义(χ^(2)=4.507,P=0.034)。结论在甲状腺良性疾病临床治疗中予以内镜手术相比开放手术效果更佳,同时美容效果更佳,有利于患者术后康复。

Objective To compare and observe the clinical efficacy of open surgery and endoscopic surgery in the treatment of benign thyroid diseases.Methods A total of 80 patients with benign thyroid disease who were treated in the hospital from January 2019 to January 2022 were randomly selected as the research objects,and grouped accord⁃ing to the random number method.40 patients who received endoscopic surgery were included in the treatment group,and 40 patients who received open surgery were included in the control group,and the surgical effects of the two groups were compared and observed.Results Compared with the control group,the operation time was(84.05±23.15)min,the intraoperative blood loss was(60.30±18.40)mL,and the hospitalization time was(7.05±0.65)d;the operation time of the treatment group was significantly shorter(71.30±22.45)min,the bleeding volume(41.30±10.25)mL was significantly less,and the hospitalization time(5.20±0.75)d was significantly shorter,the difference was statistically significant(t=2.501,5.705,11.789,P<0.05).Compared with the control group 27.50%,the total inci⁃dence of complications in the treatment group 5.00%was significantly lower,the difference was statistically signifi⁃cant(χ^(2)=7.440,P=0.006).Compared with the control group(3.97±0.66)points and(5.74±0.90)points,the VAS scores of the treatment group(2.12±0.58)points and(2.90±0.72)points at 4 h and 12 h after the operation were sig⁃nificantly lower,and the differences were statistically significant(t=13.317,15.584,P<0.001).Compared with 80.00%of the control group,97.50%of the patients in the treatment group had significantly higher satisfaction with beauty,the difference was statistically significant(χ^(2)=4.507,P=0.034).Conclusion In the clinical treatment of be⁃nign thyroid diseases,endoscopic surgery is more effective than open surgery,while the beauty effect is better,which is beneficial to the postoperative recovery of patients.