比较腔镜与开放式甲状腺手术治疗良性甲状腺瘤的临床疗效

Comparing the Clinical Efficacy of Laparoscopic and Open Thyroid Surgery in the Treatment of Benign Thyroid Tumors

目的 探讨腔镜与开放式甲状腺手术治疗良性甲状腺瘤的临床疗效。方法 方便选取2022年6月—2023年5月铜仁市人民医院甲乳外科收治的74例良性甲状腺瘤患者为研究对象,随机数表法分为两组,各37例,对照组采用开放式甲状腺手术治疗,观察组采用腔镜辅助小切口手术治疗,对比两组手术相关指标、不同时间点疼痛情况、并发症、生活质量。结果 观察组的切口长度、术中出血量、术后引流量、拔管及住院时间均优于对照组,差异有统计学意义(P均<0.05)。观察组术后4、12、24 h疼痛评分低于对照组,差异有统计学意义(P均<0.05)。观察组并发症发生率为2.70%,低于对照组的16.22%,差异有统计学意义(χ^(2)=3.945,P<0.05)。干预后,观察组各项生存质量评分均高于对照组,差异有统计学意义(P均<0.05)。结论 相比开放式手术,甲状腺瘤良性患者采用腔镜下小切口手术,能减少出血,缩短恢复时间,降低并发症风险,提高生活质量。

Objective To explore the clinical efficacy of laparoscopic and open thyroid surgery in the treatment of benign thyroid tumors.Methods A total of 74 patients with benign thyroid tumor admitted to the Department of Thyroid and Breast Surgery of Tongren People's Hospital from June 2022 to May 2023 were conveniently selected as the study objects and were divided into two groups with 37 cases in each group by random number table method.The control group received open thyroid surgery and the observation group received laparoscope-assisted small-incision surgery.The surgical indicators,pain,complications and quality of life of the two groups were compared.Results The incision length,intraoperative blood loss,postoperative drainage volume,extubation and hospital stay in the observation group were better than those in the control group,and the difference was statistically significant(all P<0.05).The pain scores of the observation group at 4,12 and 24 h after operation were lower than those of the control group,and the difference was statistically significant(all P<0.05).The incidence of complications in the observation group was 2.70%,lower than that in the control group(16.22%),and the difference was statistically significant(χ^(2)=3.945,P<0.05).After intervention,all quality of life scores in the observation group were higher than those in the control group,and the difference was statistically significant(all P<0.05).Conclusion Compared with open surgery,endoscopic small incision surgery for benign thyroid tumors can reduce bleeding,shorten recovery time,reduce the risk of complications,and improve the quality of life.