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外科研究与新技术 ›› 2022, Vol. 11 ›› Issue (2): 90-92.doi: 10.3969/j.issn.2095-378X.2022.02.004

• 论著 • 上一篇    下一篇

胸乳入路腔镜甲状腺手术在甲状腺良性肿瘤中的可行性分析

秦炜颜, 陈锦鹏, 袁荣华   

  1. 南通大学第二附属医院胃肠甲乳外科,江苏 南通 226000
  • 收稿日期:2021-06-07 出版日期:2022-06-28 发布日期:2022-12-30
  • 通讯作者: 袁荣华,电子信箱: 392233087@qq.com
  • 作者简介:秦炜颜(1984—),女,硕士研究生,主治医师,从事临床甲乳外科工作

Feasibility of endoscopic thyroidectomy via thoracic-breast approach for benign thyroid tumors

QIN Weiyan, CHEN Jinpeng, YUAN Ronghua   

  1. Department of Gastroenterology, Second Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu, China
  • Received:2021-06-07 Online:2022-06-28 Published:2022-12-30

摘要: 目的 探讨胸乳入路腔镜甲状腺手术在甲状腺良性肿瘤中的应用价值。方法 选取2019年12月—2021年5月择期行胸乳入路腔镜甲状腺手术的40例甲状腺良性肿瘤患者作为观察组,同期选择在我院进行择期传统开放手术的40例甲状腺良性肿瘤患者作为对照组,对两组患者进行回顾性分析。结果 观察组手术时间显著长于对照组(P<0.05),其余手术指标观察组均显著优于对照组(P<0.05);观察组并发症总发生率显著低于对照组(P<0.05),外观满意度显著高于对照组(P<0.05)。结论 胸乳入路腔镜甲状腺手术应用于甲状腺良性肿瘤患者虽手术时间延长,但可显著降低术中损伤及术后并发症的发生,患者外观满意度也得到显著提升,值得临床借鉴推广。

关键词: 甲状腺良性肿瘤, 开放甲状腺切除术, 胸乳入路腔镜甲状腺手术, 并发症, 外观满意度

Abstract: Objective To evaluate the value of endoscopic thyroidectomy via thoracic-breast approach in patients with benign thyroid tumors. Methods A total of 40 patients with benign thyroid tumors who underwent endoscopic thyroidectomy via thoracic-breast approach from December 2019 to May 2021 in our hospital were selected as the observation group, another 40 patients with benign thyroid tumors who underwent open operation at the same period in our hospital were selected as the control group. A retrospective analysis was conducted on the two groups of patients. Results The operation time of the observation group was significantly longer than that of the control group (P<0.05), and other operation indexes of the observation group were significantly better than those of the control group (P<0.05). The total incidence rate of complications in the observation group was significantly lower than that in the control group (P<0.05), and the appearance satisfaction rate in the observation group was significantly higher than that in the control group (P<0.05). Conclusion Endoscopic thyroidectomy via thoraco-breast approach in patients with benign thyroid tumors can significantly reduce the incidence rates of intraoperative injury and postoperative complications, and improve patients' appearance satisfaction, despite extended operation time, and therefore it is worthy of clinical promotion.

Key words: Benign thyroid tumor, Open thyroidectomy, Thyroidectomy via thoracic-breast approach, Complication, Appearance satisfaction

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