腔镜辅助与完全腔镜甲状腺切除术治疗良性甲状腺结节性疾病疗效比较

发布时间：2018-08-30 11:40

【摘要】：目的比较腔镜辅助下与完全腔镜甲状腺切除术治疗良性甲状腺结节性疾病的疗效。方法检索2014年5月前万方数据库、中国知网数据库、Pub Med、Medline关于比较腔镜辅助下和完全腔镜甲状腺切除术治疗良性甲状腺结节性疾病疗效的对照研究,根据纳入与排除标准选取文献,提取数据和评价纳入研究的质量,采用RevMan5.1软件进行Meta分析。结果纳入7篇文献,共590例患者。腔镜辅助下甲状腺切除术较完全腔镜甲状腺切除术治疗良性甲状腺结节性疾病手术时间短(SMD=-2.28,95%CI:-3.71~-0.84,P0.05),术后并发症发生率低(RR=0.11,95%CI:0.04~0.33,P0.05),疼痛评分低(SMD=-1.57,95%CI:-2.28~-0.86,P0.05),但两种术式发生喉返神经暂时性麻痹、术中出血量比较差异无统计学意义。结论腔镜辅助下甲状腺切除术较完全腔镜甲状腺切除术治疗良性甲状腺结节性疾病手术时间短,术后并发症发生率低,疼痛评分低,且具有一定的美容效果。
[Abstract]:Objective to compare the efficacy of endoscopic assisted thyroidectomy and complete endoscopic thyroidectomy in the treatment of benign thyroid nodular diseases. Methods A comparative study on the efficacy of endoscopic assisted thyroidectomy and complete endoscopic thyroidectomy in benign thyroid nodular diseases was conducted by searching the Wanfang database and the Chinese knowledge Network database Pub Med,Medline before May 2014. According to the criteria of inclusion and exclusion, this paper selects the literature, extracts the data and evaluates the quality of the research. Meta analysis is carried out by RevMan5.1 software. Results 590 patients were included in 7 articles. Endoscopic assisted thyroidectomy had shorter operative time (SMD=-2.28,95%CI:-3.71~-0.84,P0.05), lower incidence of postoperative complications (RR=0.11,95%CI:0.04~0.33,P0.05) and lower pain score (SMD=-1.57,95%CI:-2.28~-0.86,P0.05) than complete endoscopic thyroidectomy. There was no significant difference in blood loss during operation. Conclusion Endoscopic assisted thyroidectomy is more effective than complete endoscopic thyroidectomy in the treatment of benign thyroid nodular diseases.
【作者单位】：天津医科大学三中心临床学院;天津市第三中心医院;
【分类号】：R653

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