[1]杨映弘,吴艳军,蔺原,等.腔镜与传统开放甲状腺切除术的比较[J].中国微创外科杂志,2006,06(2):119-120.
　Yang Yinghong,Wu Yanjun,Lin Yuan,et al.Comparison of endoscopic and open thyroidectomy[J].Chinese Journal of Minimally Invasive Surgery,2006,06(2):119-120.
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腔镜与传统开放甲状腺切除术的比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年2期
页码:
119-120
栏目:
出版日期:
2006-02-20

文章信息/Info

Title:
Comparison of endoscopic and open thyroidectomy
作者:
杨映弘; 吴艳军; 蔺原; 岳晓林; 任洪伟
四川攀枝花市中心医院普外科,攀枝花,617067
Author(s):
Yang Yinghong;  Wu Yanjun;  Lin Yuan;  et al.
Department of General Surgery, Panzhihua Central Hospital, Panzhihua 617067, China
关键词:
甲状腺疾病; 甲状腺切除术; 腔镜
Keywords:
Thyroid disease; 　Thyroidectomy; 　Endoscopy
分类号:
R653
文献标志码:
A
摘要:
目的探讨腔镜甲状腺切除术的优缺点.方法2003年12月～2004年8月,我院将甲状腺疾病61例随意分成2组,腔镜组30例,开放组31例.分析比较腔镜组与开放组的手术时间、术中出血量,住院时间,术后疼痛评分,术后3个月颈部感觉情况、吞咽情况及美容效果评价.结果开放组手术时间比腔镜组明显缩短[(78±34)min vs.(126±53)min,t=4.125,P=0.000)].腔镜组术中出血量(20±13)ml,明显少于开放组(34±19)ml(t=-3.313,P=0.002).术后24、48 h疼痛腔镜组比开放组轻(t=-3.255,P=0.002;t=-2.598,P==0.012).术后3个月腔镜组1例发生颈部感觉减退,2例吞咽不适,开放组有11例颈部感觉减退或异常(χ2=10.894,P=0.001),9例吞咽不适(χ2=5.773,P=0.016).腔镜组所有患者对术后美容效果均满意,开放组19例对术后美容效果不满意(χ2=52.141,P=0.000).结论腔镜甲状腺切除术术中出血少、术后疼痛轻,有极佳的美容效果,是一种安全、有效的手术方法.
Abstract:
Objective　To investigate advantages and disadvantages of endoscopic thyroidectomy.　M ethods　A total of 61 consecutive patientswith thyroid diseases from December2003 toAugust2004 in this hospitalwere freely divided into two groups: the Endoscopic Group (30 patients) and theOpenGroup (31 patients). The operating time, blood loss, hospital stay, postoperative pain assessment, jugular sensation 3 months after operation, swallowing function, and cosmetic outcomes between the two groups were compared.　Results　The operating time in theOpenGroupwas significantly shorter than that in the EndoscopicGroup (78±34 min vs 126±53 min;t=4·125,P=0·000). The intraoperative blood losswas less in the Endoscopic Group (20±13 ml) than in the Open Group (34±19 ml) (t=-3·313, P=0·002). The postoperative pain in the Endoscopic Group was slighter than that in the Open Group 24 and 48 hours after operation (t=3·255,P=0·002; t=-2·598,P=0·012). Three months after operation, jugular hypesthesia and discomfort at swallowing occurred in 1 and 2 patients in the Endoscopic Group, respectively, whereas jugular hypesthesia or paresthesia occurred in 11 patients (χ2=10·594,P=0·001) and discomfort at swallowing happened in 9 patients (χ2=5·773,P=0·016) in the Open Group. All patients in the Endoscopic Group were satisfied with the cosmetic results, but 19 patients in the Open Group complained of unsatisfactory cosmetic outcomes (χ2=52·141,P=0·000).　Conclusions　Endoscopic thyroidectomy gives little blood loss, mild postoperative pain, and good cosmetic results, being a feasible and safe procedure.

参考文献/References:

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更新日期/Last Update: 2014-01-27