经腋窝入路与经胸乳入路腔镜甲状腺切除术的对比研究

发布时间：2018-10-15 19:12

【摘要】：目的比较经腋窝入路与经胸乳入路腔镜甲状腺切除术的临床应用价值。方法我院2013年1月~2016年1月手术治疗201例单侧甲状腺良性疾病,根据患者意愿,其中96例采用经腋窝入路,105例采用经胸乳入路,术中均不常规显露喉返神经。比较2组手术时间、出血量、引流量、住院时间、术后并发症。结果手术均获成功。与经胸乳组相比,经腋窝组手术时间短[(56.9±13.6)min vs.(71.4±11.3)min,t=-8.258,P=0.000],术中出血少[(14.0±8.5)ml vs.(21.0±12.5)ml,t=-4.553,P=0.000],术后引流少[(33.5±14.4)ml vs.(51.1±22.0)ml,t=-6.630,P=0.000]。2组住院时间差异无显著性[(5.3±0.9)d vs.(5.4±1.1)d,t=-0.475,P=0.635]。2组均无喉返神经损伤及甲状旁腺损伤等并发症。结论经腋窝及胸乳入路的腔镜甲状腺切除术是一种安全可行的方法,但经腋窝入路创伤程度及手术时间优于经胸乳入路。
[Abstract]:Objective to compare the clinical value of transaxillary approach and transthoracic approach for endoscopic thyroidectomy. Methods 201 cases of unilateral benign thyroid diseases were operated from January 2013 to January 2016. According to the wishes of the patients, 96 cases were treated by transaxillary approach and 105 cases by transthoracic mammary approach. The recurrent laryngeal nerve was not routinely exposed during the operation. The operation time, bleeding volume, drainage flow, hospitalization time and postoperative complications were compared between the two groups. Results all the operations were successful. 涓庣粡鑳镐钩缁勭浉姣，

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