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目的对甲状腺良性肿瘤的腔镜和开放甲状腺手术的临床效果进行对比研究。方法回顾性分析91例腔镜甲状腺切除术(腔镜组)和99例开放甲状腺切除术(开放组)病例,比较两组的手术时间、失血量、引流量、住院时间、术后住院时间、术后恢复活动时间、术后镇痛药的需求、术后并发症、住院费用等。结果两组的手术时间、住院时间、术后住院时间没有显著差异。腔镜组的失血量(27．7±17．4)ml明显少于开放组(96．8±84．8)ml,差异有统计学意义(P<0．05)。而引流量腔镜组(87．1±78．1)ml比开放组(13．49±26．1)ml多(P<0．05),腔镜组术后恢复活动时间为(2．1±1．1)d,与开放组(2．7±1．5)d比较差异有统计学意义(P=0．006),腔镜组术后镇痛药需求比开放组明显减少,而住院费用腔镜组高于开放组。腔镜组术后并发症以喉上和喉返神经损伤为主,而开放组主要足出血。结论与传统开放手术相比,良性甲状腺肿瘤的腔镜手术具有美容、术后恢复快、疼痛轻、出血少的优点,是治疗该疾病的一种很好的选择。
Objective To compare the clinical effects of endoscopic thyroidectomy and thyroidectomy for benign thyroid tumors. Methods A retrospective analysis of 91 cases of endoscopic thyroidectomy (endoscopic group) and 99 cases of open thyroidectomy (open group) cases were compared between the two groups operation time, blood loss, drainage, hospital stay, postoperative hospital stay, Postoperative recovery time, the need for postoperative analgesics, postoperative complications, hospitalization fees and so on. Results There was no significant difference in operation time, hospitalization time and postoperative hospital stay between the two groups. The amount of blood loss in endoscopic group (27.7 ± 17.4) ml was significantly lower than that in open group (96.8 ± 84.8) ml, the difference was statistically significant (P <0.05). (87.1 ± 78.1) ml was more than that of open group (13.49 ± 26.1) ml (P <0.05), and the time of postoperative recovery was (2). 1 ± 1.1) d, compared with the open group (2.7 ± 1.5) d, the difference was statistically significant (P = 0.006). The postoperative analgesic requirement of the endoscopic group was significantly lower than that of the open group The cost of hospitalization laparoscopy group than the open group. The complications of laparoscopic group were mainly laryngeal and recurrent laryngeal nerve injury, while the open group was mainly bleeding. Conclusion Compared with the traditional open surgery, endoscopic surgery of benign thyroid tumors has the advantages of beauty, quick recovery after surgery, less pain and less bleeding, which is a good choice for the treatment of this disease.