全腔镜甲状腺次全切除术对早期分化型甲状腺癌患者术中切口长度及术后血清Tg、VEGF水平变化的影响

发布时间：2018-04-29 06:30

本文选题：全腔镜甲状腺次全切除术 + 早期分化型甲状腺癌　；参考：《实用医学杂志》2017年21期

【摘要】：目的探讨全腔镜甲状腺次全切除术在早期分化型甲状腺癌中应用价值。方法选取2013年11月至2016年9月我院72例早期分化型甲状腺癌患者,按随机数字表法分组,各36例。对照组采用开放式甲状腺切除术,研究组采用全腔镜甲状腺次全切除术。统计对比两组术后第1天手术情况、入院时及术后第1天血清VEGF及Tg水平变化情况、手术美观效果。结果研究组切口长度、疼痛评分、术中失血量较对照组少,手术用时较对照组长(P0.05),研究组淋巴结清扫数目与对照组比较无明显差异(P0.05);术后两组血清VEGF及Tg水平较术前降低,且研究组各指标水平较对照组低(P0.05);研究组手术美观效果总满意度(97.22%)较对照组(75.00%)高(P0.05)。结论采用全腔镜甲状腺次全切除术治疗早期分化型甲状腺癌效果显著,切口小,术后疼痛感轻,可有效降低血清Tg、VEGF水平,提高手术美观效果满意度。
[Abstract]:Objective to evaluate the value of total endoscopic subtotal thyroidectomy in early differentiated thyroid carcinoma. Methods from November 2013 to September 2016, 72 patients with early differentiated thyroid carcinoma in our hospital were randomly divided into 36 patients. Open thyroidectomy was performed in the control group and subtotal thyroidectomy was performed in the study group. The changes of serum VEGF and TG levels at admission and on the first day after operation were statistically compared between the two groups. Results the incision length, pain score, blood loss during operation in the study group were less than those in the control group, the operation time was longer than that in the control group, the number of lymph node dissection in the study group was not significantly different from that in the control group, and the levels of serum VEGF and TG in the two groups were lower than those before operation. The level of each index in the study group was lower than that in the control group (P 0.05), and the total satisfaction degree of the aesthetic effect in the study group was 97.22%) higher than that in the control group (75.00). Conclusion Total endoscopic subtotal thyroidectomy is effective in the treatment of early differentiated thyroid carcinoma with small incision and mild postoperative pain.
【作者单位】：河南省驻马店市中心医院普外三科;
【分类号】：R736.1

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