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目的探讨全腔镜下甲状腺良性肿瘤切除术与传统开放性手术的临床治疗效果。方法选取2012年1月~2017年6月我院普外科收治的108例甲状腺良性肿瘤手术患者作为研究对象,依据手术治疗方式的不同分为对照组(传统开放性手术治疗)50例和观察组(全腔镜下甲状腺良性肿瘤切除术治疗)58例。观察比较两组患者的手术时间、出血量、术后引流时间、术后引流量、住院时间、术后7 d疼痛评分、术后7 d美容效果评分及术后并发症发生情况。结果观察组患者的手术时间[(70.2±8.9)min]、术后引流时间[(1.5±0.3)d]、住院时间[(5.2±0.5)d]均短于对照组[(94.7±10.4)min,(2.7±0.8)d,(8.0±1.5)d],观察组患者的出血量[(41.5±9.6)ml]、术后引流量[(71.9±10.6)ml]均少于对照组[(73.7±10.2)ml,(104.5±10.2)ml],差异均有统计学意义(P<0.05)。观察组患者术后7 d疼痛评分[(2.5±0.3)分]低于对照组[(3.8±0.6)分],术后7 d美容效果评分[(8.4±1.5)分]高于对照组[(4.4±1.2)分],差异均有统计学意义(P<0.05)。两组患者术后皮下气肿/声音嘶哑、引流口红肿、口周或手足麻木、饮水呛咳发生情况比较,差异均无统计学意义(P>0.05)。结论全腔镜下甲状腺良性肿瘤切除术治疗甲状腺患者,手术创伤小,美容效果好,值得临床推广应用。
Objective To investigate the clinical effect of complete endoscopic thyroid benign tumor resection and traditional open surgery. Methods A total of 108 patients with benign thyroid tumor who were treated in general surgery from January 2012 to June 2017 in our hospital were selected as study subjects. According to the different surgical treatment methods, 50 patients were divided into control group (traditional open surgical treatment) and observation group. (Full-endoscopic thyroidectomy for benign tumors) 58 cases. The operative time, blood loss, postoperative drainage time, postoperative drainage volume, length of stay, postoperative 7-day pain score, 7-day postoperative cosmetic score, and postoperative complications were observed and compared between the two groups. Results The operative time of the observation group [(70.2±8.9) min], postoperative drainage time [(1.5±0.3) d], hospitalization time [(5.2±0.5) d] were all shorter than those of the control group [(94.7±10.4) Min, (2.7 ± 0.8) d, (8.0 ± 1.5) d], the amount of bleeding [(41.5 ± 9.6) ml] and postoperative drainage [(71.9 ± 10.6) ml] were lower in the observation group than in the control group [ (73.7±10.2) ml, (104.5±10.2) ml], the difference was statistically significant (P<0.05). The pain score at the 7th day after surgery in the observation group was (2.5±0.3) points lower than that in the control group [(3.8±0.6) points], and the 7-day postoperative cosmetic score [(8.4±1.5) points] was higher than that in the control group. (4.4±1.2) points, the differences were statistically significant (P<0.05). There was no significant difference in the incidence of subcutaneous emphysema, hoarseness, redness of drainage orifice, numbness in perioral or numbness, and cough in drinking water between the two groups (P>0.05). [Conclusion] The use of total thyroidectomy for benign thyroid tumors to treat thyroid patients has small surgical trauma and good cosmetic results. It is worthy of clinical application.