| 那朝阳,于铭,闫长红,等.腔镜辅助甲状腺切除治疗甲状腺结节的临床效果[J].中国临床保健杂志,2021,24(3):361-364. |
| 腔镜辅助甲状腺切除治疗甲状腺结节的临床效果 |
| Clinical efficacy of endoscopic assisted thyroidectomy in the treatment of thyroid nodules |
| 投稿时间：2021-03-10 |
| DOI：10.3969/J.issn.1672-6790.2021.03.017 |
| 中文关键词: 甲状腺结节 甲状腺切除术 内窥镜检查 治疗结 |
| 英文关键词: Thyroid nodule Thyroidectomy Endoscopy Treatment outcome 〖FL |
| 基金项目:河北省秦皇岛市重点研发计划科技支撑项目(201703A188) |
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| 中文摘要: |
| 目的 探讨腔镜辅助甲状腺切除治疗甲状腺结节的临床效果。方法 选取秦皇岛市骨科医院2015年1月至2020年1月收治的因甲状腺结节行外科手术治疗的患者120例为研究对象。以开展开放性手术的60例患者为对照组,以开展腔镜辅助手术治疗的60例患者为研究组,对两组围术期指标、机体应激相关血清指标、术后不同时间视觉模拟法疼痛评分(VAS)、并发症及手术满意度进行比较。结果 两组手术时间差异无统计学意义(P＞0.05),但术中出血量、拔管时间、住院时间均差异有统计学意义(P＜0.05)；术后抗甲状腺球蛋白抗体(TgAb)、C反应蛋白(CPR)等机体应激相关血清差异均有统计学意义(P＜0.05)；研究组术后不同时间VAS评分均较对照组明显下降(P＜0.05)；研究组并发症发生率(8.3%)明显低于对照组(28.3%),P＜0.05。研究组患者手术效果总满意度为100.0%,明显高于对照组的58.3%(P＜0.05)。结论 相对于开放性手术而言,腹腔镜甲状腺切除术在甲状腺结节中的应用效果更为理想,且有利于缩短患者住院时间,减少并发症发生。 |
| 英文摘要: |
| Objective To investigate the clinical effect of endoscopic assisted thyroidectomy in the treatment of thyroid nodules.Methods From January 2015 to January 2020 in our hospital,120 patients with thyroid nodules due to thyroid disease undergoing surgical treatment were selected as the research object for retrospective analysis; 60 patients with open surgery as the control group,and 60 patients with endoscopic assisted surgery as the experimental group.The perioperative indexes,body stress related serum indexes,visual analogue scale (VAS),complications and surgical satisfaction were compared between the two groups.Results There was no significant difference in operation time between the two groups (P＞0.05),but there were significant differences in intraoperative blood loss,extubation time and hospital stay (P＜0.05) There were statistically significant differences in body stress related serum such as antibodies,TGAb,C-reaction protein (CPR) (P＜0.05); the pain score (VAS) at different time after operation in the experimental group was significantly lower than that in the control group (P＜0.05); the incidence of complications in the experimental group was 8.3%,which was significantly lower than 28.3% in the control group (P＜0.05).The total satisfaction rate of the experimental group was 100.0%,which was significantly higher than 58.3% of the control group (P＜0.05).Conclusion Compared with open surgery,laparoscopic thyroidectomy is more effective in the treatment of benign thyroid nodule disease,which can shorten the hospitalization time and reduce the incidence of complications. |
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