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目的比较内镜手术与开放手术治疗甲状腺癌的临床效果。方法选取甲状腺癌患者79例,其中进行传统开放手术47例,内镜手术32例,两组相关情况及疗效进行对比分析。结果内镜手术组的术中出血量明显少于开放手术组(P<0.01);内镜手术组的引流量较开放手术组显著增加(P<0.01);两组病例出血量、感染、神经损伤以及肿瘤种植等术后并发症的发生率无显著差异。结论甲状腺癌内镜手术较开放手术术中出血量少,不增加住院时间,患者术后严重并发症的发生率未出现显著增加,虽然手术时间较长,术后切口引流量多,但总体短期疗效较好。
Objective To compare the clinical effects of endoscopic surgery and open surgery in the treatment of thyroid cancer. Methods 79 cases of thyroid cancer were selected, including 47 cases of traditional open surgery and 32 cases of endoscopic surgery. The related situation and curative effect of the two groups were compared and analyzed. Results The bleeding volume of endoscopic surgery group was significantly less than that of open surgery group (P <0.01). The drainage volume of endoscopic surgery group was significantly higher than that of open surgery group (P <0.01) There was no significant difference in the incidence of postoperative complications such as injury and tumor implantation. Conclusions Compared with open operation, thyroid cancer endoscopic surgery has less bleeding and no increase of hospitalization time. The incidence of serious postoperative complications did not increase significantly. Although the operation time was longer and the incision drainage was more, Good effect.