摘要
目的:对比经腋窝入路腔镜下甲状腺切除和开放性甲状腺切除治疗结节性甲状腺肿的疗效。方法:选择2015年8月-2017年2月我院收治的90例结节性甲状腺肿患者,按随机数字表达法分为对照组和观察组,每组45例。对照组患者行开放性甲状腺切除术,观察组患者行经腋窝入路腔镜下甲状腺切除术。对比两组患者手术时间、术后转归指标、术后疼痛评分、患者满意度。结果:两组患者在喉返神经麻痹、低血钙、术后引流量、术后引流时间、术后出血、术后感染、皮下气肿和淤血等方面的差异无统计学意义(P>0.05)。观察组患者在前胸疼痛和不适、术后疼痛、总满意度等方面均优于对照组(P<0.05),手术时间长于对照组(P<0.05)。结论:在结节性甲状腺肿的治疗中,采用经腋窝入路腔镜下甲状腺切除术,能减少手术创伤,缓解患者术后疼痛,降低术后并发症,提高患者满意度,具有重要的临床意义。
Objective：To compare the efficacy of endoscopic thyroidectomy and open thyroidectomy via axillary approach in the treatment of nodular goiter.Methods：From August 2015 to February 2017,90 cases of nodular goiter were treated in our hospital.The patients were divided into two groups according to the random number expression,45 cases in each group.The control group underwent open thyroidectomy,observation group patients underwent endoscopic thyroidectomy via the axillary.The operation time,postoperative prognosis index,postoperative pain score and patient satisfaction were compared between the two groups.Results：The observation group and the control group in the patients with paralysis,hypocalcemia,recurrent laryngeal surgery after drainage,drainage time,postoperative bleeding,postoperative infection,subcutaneous emphysema and blood stasis etc.,no statistically significant difference（P〉0.05）.The chest pain and discomfort,postoperative pain and satisfaction in the observation group were better than those in the control group（P〈0.05）operation time,was longer than that of the control group（P〈0.05）.Conclusion：In the treatment of nodular goiter in the axillary approach endoscopic thyroidectomy,can reduce surgical trauma,relieve postoperative pain and reduce postoperative complications,improve patient satisfaction,has important clinical significance.
出处
《医学理论与实践》
2017年第20期2984-2986,共3页
The Journal of Medical Theory and Practice
