腔镜甲状腺手术中经全乳晕入路和胸乳入路的临床效果比较

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Abstract Objective To investigate the clinical effects of total areolar approach and chest/breast approach during endoscopic thyroidectomy.Methods From February 2014 to December 2016,60 patients underwent endoscopic thyroid surgery in our hospital were selected as the subjects,and divided into two groups by random number table method,with 30 cases in each group.Patients in control group performed with endoscopic surgery via chest/breast approach,and patients in research group performed with total areolar approach.The intraoperative amount of bleeding,operation time,postoperative total volume of drainage,drainage time,postoperative persistent pain time,time to take food again,postoperative hospital stay,hospitalization costs,satisfaction on incision beauty,and incidence of complications including subcutaneous effusion,transient hoarseness,wound hematoma,subcutaneous emphysema,neck paresthesia,and swallowing discomfort were compared between the two groups.Results The intraoperative amount of bleeding,operation time,postoperative drainage,drainage time,pain duration after surgery,time to take food again,postoperative hospital stay,and hospitalization expenses between the two groups were not displayed statistical differences(P＞0.05).There was no statistical difference in the incidence of complications like subcutaneous effusion,transient hoarseness,wound hematoma,subcutaneous emphysema,neck paresthesia,and swallowing discomfort and so forth(P＞0.05).The total satisfaction on incision beauty in the research group(100.00%)was higher than that in the control group(80.00%)(P＜0.05).Conclusion The clinical efficacy and safety of endoscopic thyroidectomy via total areolar approach and chest/breast approach are similar,but the former has a better cosmetic effect.

Key words： Endoscope Thyroid surgery Chest/breast approach Total areola approach

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	Articles by authors
	WANG Chao
	LI Xiao-hui
	ZHANG Jian
	CHEN Qia-ming
	WANG Jin-xiang
	PANG Shan

Cite this article:

WANG Chao,LI Xiao-hui,ZHANG Jian, et al. Comparison of the clinical effects of total areolar approach and chest/breast approach during endoscopic thyroidectomy[J]. 中国当代医药, 2018, 25(19): 39-41.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I19/39

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