摘要
目的探讨小切口腔镜辅助甲状腺切除术与传统开放手术治疗甲状腺癌的疗效比较。方法选取2016年3月至2020年3月间西安市中心医院收治的70例甲状腺癌患者,采用随机抽签法分为观察组和对照组,每组35例。观察组患者采用小切口腔镜辅助甲状腺切除术治疗,对照组患者采用传统开放手术治疗,比较两组患者手术指标、并发症及声音恢复效果。结果两组患者手术时间比较,差异无统计学意义(P>0.05)。观察组患者术中出血量、切口长度、术后引流量、术后颈部恢复活动时间、拆线时间、疼痛缓解时间和住院时间均优于对照组,差异均有统计学意义(均P<0.05)。观察组患者并发症发生率为5.7%,低于对照组的25.7%,差异有统计学意义(P<0.05)。术前及术后1d,两组患者声音障碍程度评分比较,差异无统计学意义(P>0.05)。出院时及出院3个月,观察组患者声音障碍程度评分均低于对照组,差异均有统计学意义(均P<0.05)。结论甲状腺癌采用小切口腔镜辅助甲状腺切除术治疗,可缩短住院时间,减少术后并发症,且术后无明显声音障碍,手术效果好,值得推广应用。
Objective To explore the efficacy of minimally invasive endoscope-assisted transoral thyroidectomy versus traditional open surgery for thyroid cancer.Methods Seventy thyroid cancer patients admitted to our hospital from March 2016 to March 2020 were selected at Xi’an Central Hospital.They were randomly divided into an observation group and a control group.The observation group underwent minimally invasive endoscope-assisted transoral thyroidectomy and the control group underwent traditional open surgery.Surgical parameters,recovery indicators,complications and sound recovery were compared between the two groups.Results There was no significant difference in the duration of surgery between the two groups(P>0.05).In the observation group,intraoperative blood loss,incision length,postoperative drainage volume,time to recovery from neck surgery,time to disassembly line,time to pain relief and length of hospital stay were significantly shorter than in the control group(all P<0.05).In terms of the incidence of complications,the observation group(5.7%)was significantly lower than the control group(25.7%,P<0.05).There was no significant difference in dysphonia scores between the two groups before the surgery and 1 d after the surgery(P>0.05).At the time of discharge and 3 months after discharge,the score of dysphonia was significantly lower in the observation group than that in the control group(all P<0.05).Conclusion The minimally invasive endoscope-assisted transoral thyroidectomy for thyroid cancer shortens the length of hospital stay,reduces postoperative complications,and there is no obvious dysphonia after surgery with good efficacy.It is worthy of clinical popularization.
作者
孙博
朱海军
张少勇
申磊花
SUN Bo;ZHU Hai-jun;ZHANG Shao-yong;SHEN Lei-hua(Department of General Surgery,Xi'an Central Hospital,Xi'an 710003,China)
出处
《中国肿瘤临床与康复》
2020年第12期1428-1431,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
小切口腔镜辅助甲状腺切除术
开放手术
甲状腺肿瘤
并发症
Minimally invasive endoscope-assisted transoral thyroidectomy
Open surgery
Thyroid neoplasms
Complications
作者简介
孙博,男,主治医师,主要从事甲状腺,乳腺治疗专业;通信作者:申磊花,Email:744956945@qq.com。
