腔镜下与开放性甲状腺切除术的临床效果比较

发布时间：2018-10-30 18:07

【摘要】：目的对比观察腔镜下与开放性甲状腺手术的临床疗效。方法将80例甲状腺疾病患者随机分为两组各40例,观察组行腔镜下甲状腺手术,对照组行开放性甲状腺手术,观察两组围手术期指标、术后疼痛及并发症情况。结果两组手术时间比较,差异无统计学意义(P0.05);与对照组比较,观察组住院时间、拔管时间缩短,术中出血量、引流总量、术后VAS减少(P均0.05);观察组术后出现出血、喉返神经损伤及甲状旁腺功能低下各1例,对照组术后出现出血2例、窒息3例、喉返神经损伤2例、甲状旁腺功能低下1例;观察组并发症发生率(7.50%)低于对照组(20.00%),差异有统计学意义(P0.05)。结论与开放性甲状腺手术比较,腔镜下甲状腺手术治疗能取得较好临床疗效,且手术损伤小、术后痛疼减轻、并发症少。
[Abstract]:Objective to observe the clinical effect of endoscopic and open thyroid surgery. Methods Eighty patients with thyroid diseases were randomly divided into two groups: 40 patients in each group. The patients in the observation group underwent endoscopic thyroid surgery and the control group underwent open thyroid surgery. The perioperative indexes, postoperative pain and complications were observed in the two groups. Results there was no significant difference in operation time between the two groups (P0.05), and compared with the control group, the hospitalization time, extubation time, intraoperative bleeding volume, total drainage volume and postoperative VAS decreased in the observation group (P 0.05). Bleeding, recurrent laryngeal nerve injury and hypoparathyroidism occurred in 1 case in the observation group, 2 cases in the control group, 3 cases in asphyxia, 2 cases in the injury of the recurrent laryngeal nerve and 1 case in the hypoparathyroidism in the control group. The incidence of complications in the observation group (7.50%) was significantly lower than that in the control group (20.00%) (P0.05). Conclusion compared with open thyroid surgery, endoscopic thyroidectomy can achieve better clinical effect, with less injury, less postoperative pain and less complications.
【作者单位】：内蒙古民族大学附属医院;
【分类号】：R653

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