胸乳入路腔镜甲状腺手术与传统手术治疗甲状腺疾病的优劣分析

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Abstract Objective To explore the effect difference of breast approach endoscopic thyroidectomy and traditional operation in treating thyroid disease.Methods 49 patients who conducted breast approach endoscopic thyroidectomy in our hospital from March 2012 to December 2015 were selected as experimental group,35 patients who conducted traditional operation at the same term were selected as control group.Operation related data,postoperative complications and patients′satisfaction to incision in two groups were observed.Results Intraoperative blood loss in the experimental group and the control group was respectively(15.98±8.80),(25.01±7.54)ml,and the difference was statistical significance(P＜0.01);24 h indueed flow volume after operation in the experimental group was obvious less than that in the control group(P＜0.01);length of hospital stay was obviously shorter than that in the control group(P＜0.01),but average hospitalization expenses in the experimental group was obviously more than that in the control group(P＜0.01).Incidence rate of complications in the experimental group was 24.49%,which had no obvious difference with 28.57%in the control group(P＞0.05).Patients′satisfaction to incision in the experimental group and the control group was respectively 97.96%(48/49)and 14.29%(5/35)(χ2=61.388,P＜0.05).Conclusion Breast approach endoscopic thyroidectomy has less trauma on patients,shorter length of hospital stay,faster postoperative recovery and with better incision cosmetic effect. For patients with economic conditions permit,it can be recommended as the best choice.

Key words： Endoscopic surgery Thyroid disease Traditional operation Breast approach

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	Articles by authors
	LI Li-nong
	ZHAO Han-peng
	ZHU Jin-teng
	MA Teng-fei
	SHEN Yi-jun
	LIN Jie-xian

Cite this article:

LI Li-nong,ZHAO Han-peng,ZHU Jin-teng, et al. Advantages and disadvantages analysis of breast approach endoscopic thyroidectomy and traditional operation in treating thyroid disease[J]. 中国当代医药, 2017, 24(1): 52-54.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I1/52

[1]	王平，谢秋萍.腔镜甲状腺手术临床应用争议和共识[J].中国实用外科杂志，2015，35（1）：76-78.
[2]	冯萍，马立，余一平，等.全乳晕入路与胸乳入路腔镜甲状腺手术临床对比研究[J].实用医学杂志，2015，31（14）：2331-2333.
[3]	孙雪峰.低位小切口与胸乳入路腔镜甲状腺手术临床疗效比较分析[J].实用医学杂志，2015，31（16）：2728-2730.
[4]	周毅，沈国双.胸乳路径腔镜甲状腺手术的新技术、方法及其研究进展[J].腹腔镜外科杂志，2016，21（4）：312-315.
[5]	王波，赵文新，张立永，等.开展腔镜甲状腺手术初期经验[J].中华内分泌外科杂志，2015，9（1）：63-65.
[6]	阮剑，张家衡，何凡，等.腔镜辅助小切口甲状腺手术技巧探讨[J].华南国防医学杂志，2014，28（10）：967-969.
[7]	顾懿帆，周鸣，刘溦薇，等.腔镜下甲状腺手术与传统开放性手术临床疗效对比[J].现代生物医学进展，2014，14（18）：3469-3472.
[8]	张平，贺亮，王志宏，等.腔镜辅助甲状腺肿瘤微创手术150例临床分析[J].中国现代普通外科进展，2015，18（7）：564-565.
[9]	祝玉祥，章佳新，邵稳喜，等.完全腔镜下甲状腺切除术后临床体会[J].中华内分泌外科杂志，2014，8（1）：20-21.
[10]	黄飞，蔡小勇，卢榜裕，等.单孔腋下入路腔镜手术在甲状腺良性疾病中的临床应用[J].中国内镜杂志，2014，20（7）：678-683.
[11]	吴维敏，尹俊峰，陈雪花，等.胸乳入路腔镜良性甲状腺病变手术学习曲线的研究[J].华南国防医学杂志，2015，29（8）：593-595.
[12]	王平，燕海潮.腔镜技术在复杂甲状腺手术治疗的应用及体会[J].医学与哲学，2015，36（20）：13-15.
[13]	龚茂松，丛伟，郝战宇，等.腔镜辅助与传统手术在甲状腺癌颈侧区淋巴结清扫术中的效果比较[J].山东医药，2016，56（13）：107-108.
[14]	张亮.腔镜下手术与传统手术治疗甲状腺疾病的临床效果比较[J].中国现代医生，2016，54（8）：37-39.
[15]	倪鹏，李红阳.腔镜辅助颈部小切口手术治疗甲状腺良性肿瘤的临床效果[J].中国医药导报，2016，13（16）：35-37.
[16]	张艳，张丽梅，张雪鹏，等.护理干预在腔镜辅助颈部小切口甲状腺手术中的效果[J].中国医药导报，2015，12（8）：121-123.