全腔镜下甲状腺良性肿瘤切除术与传统开放性手术治疗甲状腺良性肿瘤的临床研究

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Abstract ObjectiveTo investigate the clinical effect of resection of benign thyroid tumor under endoscope and traditional open surgery for benign thyroid tumor.Methods108 patients with benign thyroid tumors treated in department of general surgery of our hospital from January 2012 to June 2017 were selected as subjects.According to different surgical methods,they were divided into control group (treated with traditional open surgery,n＝50)and observation group(treated with resection of benign thyroid tumor,n＝58).The operation time,bleeding volume,postoperative drainage time,postoperative drainage volume,hospital stay,pain score of 7 days after surgery,cosmetic effect score of 7 days after surgery and postoperative complications were observed and compared between the two groups.ResultsThe operation time,postoperative drainage time and hospital stay were [(70.2±8.9)min,(41.5±9.6)ml,(1.5±0.3)d,(71.9±10.6)ml,(5.2±0.5)d],which were all lower than that in the control group [(94.7±10.4)min,(73.7±10.2)ml,(2.7±0.8)d,(104.5±10.2)ml and(8.0±1.5)d],and the differences were statistically significant(P＜0.05).In the observation group,the pain score of 7 days after surgery was[(2.5±0.3)points],which was lower than that in the control group[(3.8±0.6)points],and the difference was statistically significant(P＜0.05).The cosmetic effect score of 7 days after surgery was[(8.4±1.5)points],which was greatly higher than that in the control group[(4.4±1.2)points],and the differences were statistically significant(P＜0.05).The incidence of subcutaneous emphysema,hoarseness,swelling at the open of drainage,numbness around the mouth or hand and foot and bucking on drinking water were compared between the two groups,and the differences were not statistically significant(P＞0.05).ConclusionFor patients with thyroid disorders,resection of benign thyroid tumors under endoscope has advantages of mild surgical trauma and great cosmetic effect,which is worthy of clinical promotion.

Key words： Resection of benign thyroid tumor under endoscope Traditional open surgery Pain Cosmetic effect Complications

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	LI Lin-yuan
	MAI Jian-quan
	YE Shao-guang

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LI Lin-yuan,MAI Jian-quan,YE Shao-guang. Clinical study of resection of benign thyroid tumor under endoscope and traditional open surgery for benign thyroid tumor[J]. 中国当代医药, 2017, 24(32): 39-42.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I32/39

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