腔镜甲状腺手术与传统开放手术治疗分化型甲状腺癌的临床对比研究

发布时间：2018-01-28 10:33

  本文关键词： 腔镜甲状腺手术 开放甲状腺手术 分化型甲状腺癌 临床疗效　出处：《广西医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的比较腔镜甲状腺手术(endoscopic thyroidectomy,ET)与传统开放甲状腺手术(open thyroidectomy,OT)治疗分化型甲状腺癌(differentiated thyroid carcinoma,DTC)的临床疗效。方法本研究为回顾性分析。选取2014年1月~2016年9月在广西医科大学第一附属医院普通外科行腔镜甲状腺癌根治术的27例患者作为腔镜手术组,同时选取30例分化型甲状腺癌患者作为开放手术组,比较两组患者手术时间、术中出血量、术后引流量、术后住院时间、术后止痛药使用次数、中央区淋巴结清扫数量、手术并发症发生率及肿瘤复发率的情况。结果所有患者均顺利完成手术,术后未发生严重并发症,腔镜手术组无中转开放。腔镜手术组的手术时间及术后住院时间比开放手术组长,术后引流量比开放手术组多,但出血量少,两组患者上述数据比较差别均有统计学意义(P0.05);两组患者在中央区淋巴结清扫数量、术后止痛药使用次数、术后并发症发生率、肿瘤复发率的对比差别无统计学意义(P0.05)。结论1、对于直径≤4cm、术前无淋巴结转移的早期分化型甲状腺癌,腔镜甲状腺癌手术是安全可行的,中央区淋巴结清扫数量可达到与传统开放手术相同的效果,但其远期效果尚需进一步随访研究。2、腔镜甲状腺癌手术具有出血量少、切口小及美容效果好的优点;缺点是手术时间及住院时间长、术后引流量多,操作难度大,对于有广泛颈淋巴结转移的病例应用受到限制。
[Abstract]:Objective to compare endoscopic thyroid surgery with open thyroidectomy. OT-) was used to treat differentiated thyroid carcinoma of differentiated thyroid carcinoma. DTC). Methods from January 2014 to September 2016, 27 patients underwent endoscopic radical thyroidectomy in general surgery, the first affiliated hospital of Guangxi medical university. Endoscopic group. At the same time, 30 patients with differentiated thyroid carcinoma were selected as open operation group. The operation time, intraoperative bleeding, postoperative drainage, postoperative hospitalization time and postoperative analgesic use were compared between the two groups. The number of central lymph nodes dissection, the incidence of complications and tumor recurrence. Results all patients successfully completed the operation, there were no serious postoperative complications. The operative time and postoperative hospital stay in the endoscopic operation group were longer than those in the open operation group, and the postoperative drainage volume was more than that in the open operation group, but the amount of bleeding was less. There were significant differences in the above data between the two groups (P 0.05). There was no significant difference in the number of lymph node dissection, the number of postoperative analgesic use, the incidence of postoperative complications and the recurrence rate of tumor between the two groups (P 0.05). Conclusion 1. For early differentiated thyroid carcinoma with diameter 鈮，

本文编号：1470509