经胸乳路径的腔镜手术在甲状腺良性疾病中的应用

Application of Transthoracic Endoscopic Surgery in Benign Thyroid Diseases

目的比较经胸乳路径腔镜技术与传统方法在甲状腺手术中的临床疗效。方法选取2020年8月-2021年8月我院72例甲状腺良性疾病患者为研究对象,随机分为试验组和对照组,各36例。对照组行传统颈部小切口甲状腺部分切除术,试验组采取经胸乳路径腔镜甲状腺部分切除术,比较两组临床指标、术后疼痛评分(VAS)、切口瘢痕评分(SCAR)及住院情况。结果试验组手术时间长于对照组,置管时间短于对照组,差异有统计学意义(P<0.05);两组术中出血量及术后并发症比较,差异无统计学意义(P>0.05);试验组VAS评分、SCAR评分均低于对照组,差异有统计学意义(P<0.05);试验组住院时间少于对照组,差异有统计学意义(P<0.05),两组住院费用比较,差异无统计学意义(P>0.05)。结论经胸乳路径的腔镜甲状腺手术具有微创、美观、恢复快、住院时间短、疼痛轻、心理创伤小等优点,手术安全可靠。

Objective To compare the clinical efficacy of transthoracic endoscopic approach and traditional methods in thyroid surgery.Methods A total of 72 patients with benign thyroid diseases in our hospital from August 2020 to August 2021 were selected as the research objects and randomly divided into the experimental group and the control group,with 36 cases in each group.The control group was treated with traditional neck small incision thyroidectomy,and the experimental group was treated with transthoracic and breast path endoscopic thyroidectomy.The clinical indexes,postoperative pain score(VAS),incision scar score(SCAR)and hospitalization were compared between the two groups.Results The operation time of the experimental group was longer than that of the control group,and the catheterization time was shorter than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference in intraoperative blood loss and postoperative complications between the two groups(P>0.05).The VAS score and SCAR score of the experimental group were lower than those of the control group,and the difference was statistically significant(P<0.05).The hospitalization time of the experimental group was less than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in hospitalization expenses between the two groups(P>0.05).Conclusion Endoscopic thyroidectomy via breast-thoracic approach has the advantages of minimally invasive,aesthetic,rapid recovery,short hospitalization time,light pain,and small psychological trauma,the operation is safe and reliable.