摘要
目的:探讨完全乳晕入路腔镜下甲状腺切除术治疗甲状腺微小乳头状癌效果。方法:选取2018年1月至2020年1月收治的108例甲状腺微小乳头状癌患者,随机分为观察组和对照组,观察组给予完全乳晕入路腔镜下甲状腺切除术,对照组给予传统开放性甲状腺切除术,比较两组手术指标、恢复指标、术后并发症发生、POSAS评分及美容满意度。结果:对照组手术时间(100.28±15.31)min,少于观察组的(129.30±15.29)min(P<0.05),观察组术中出血量少于对照组(P<0.05),切口长度短于对照组(P<0.05);清扫淋巴结数量及拔管时间,观察组与对照组相比差异无统计学意义(P>0.05),观察组术后24 h引流量为(23.92±5.14)mL,少于对照组的(28.04±5.22)mL,颈部恢复活动时间、住院时间分别为(22.05±3.16)d、(5.47±0.60)d,少于对照组的(36.00±3.20)d、(8.51±0.58)d(P<0.05);观察组、对照组术后并发症发生率分别为3.70%、12.96%,差异无统计学意义(P>0.05);观察组患者术后POSAS评分低于对照组,美容满意度高于对照组(P<0.05)。结论:完全乳晕入路腔镜下甲状腺切术与开放性甲状腺切除术治疗甲状腺微小乳头癌疗效相当,安全性相似,但完全乳晕入路腔镜下甲状腺切术疤痕恢复情况及患者美容满意度较高,适合对美容有需求的患者应用。
Objective:To explore the effect of complete areola approach endoscopic thyroidectomy for the treatment of thyroid micropapillary carcinoma.Methods:108 patients with thyroid micropapillary carcinoma admitted from January 2018 to January 2020 were randomly divided into observation group and control group,the observation group was given a complete areola approach endoscopic thyroidectomy,and the control group was given a traditional open thyroidectomy,comparing the two groups of surgical indicators,recovery indicators,postoperative complications,POSAS score and cosmetic satisfaction.Results:The operation time of the control group(100.28±15.31)min was significantly shorter than that of the observation group(129.30±15.29)min.The intraoperative blood loss and incision length of the observation group were significantly lower than those of the control group(P<0.05),the number of lymph nodes dissected in the observation group and control group were(3.98±1.46)and(5.00±1.28),and the extubation time was(3.11±0.63)d and(3.26±0.58)d(P>0.05),the drainage volume of(23.92±5.14)ml in the observation group was significantly reduced compared with the control group(28.04±5.22)at 24 hours after operation,and the neck recovery time and hospitalization time were(22.05±3.16)d and(5.47±0.60)d,significantly shorter than those of the control group(36.00±3.20)d,(8.51±0.58)d(P<0.05),the postoperative complication rates of the observation group and the control group were 3.70%respectively,12.96%,the difference was not statistically significant(P>0.05);the postoperative POSAS score of the observation group was significantly lower than that of the control group,and the beauty satisfaction was significantly higher than that of the control group(P<0.05).Conclusion:Laparoscopic thyroidectomy under complete areola approach and open thyroidectomy have the same curative effect and similar safety in the treatment of papillary thyroid carcinoma.However,the scar recovery of thyroidectomy under complete areola approach and the satisfaction of patients'beauty is higher.It is suitable for patients who need beauty.
作者
罗文勇
冯霭琴
曾惠明
潘维
LUO Wenyong;FENG Aiqin;ZENG Huiming;PAN Wei(The First People’s Hospital of Huizhou City, Huizhou 516001,China;Comprehensive Welfare Institute of Huizhou)
出处
《包头医学院学报》
CAS
2020年第4期30-32,共3页
Journal of Baotou Medical College
基金
惠州市重点专科培育项目(普外科)。
关键词
甲状腺微小乳头状癌
腔镜手术
完全乳晕入路
开放性手术
Thyroid micropapillary carcinoma
Endoscopic surgery
Complete areola approach
Open surgery
