探讨腋窝径路与胸乳径路腔镜甲状腺手术临床治疗.docVIP

精品论文 参考文献 探讨腋窝径路与胸乳径路腔镜甲状腺手术临床治疗 黑龙江省龙江县第一人民医院 161100 【摘 要】目的 研究分析腋窝径路与胸乳径路腔镜甲状腺手术临床疗效。方法 此次研究的对象是选取我院收治的64例行腔镜甲状腺手术患者，将其临床资料进行回顾性分析，并随机均分为观察组和对照组，对照组采取胸乳径路腔镜甲状腺手术治疗，观察组采取腋窝径路腔镜甲状腺手术治疗，对比分析两组患者的手术时间、住院时间、出血量、引流量等一般情况和患者的颈胸不适感、声音嘶哑、甲状旁腺损伤、气管损伤等不良情况发生率。结果 观察组在手术时间、引流量、颈胸不适感方面与对照组比较有显著性差异，差异比较有统计学意义（Plt;0.05）；观察组在住院时间、出血量、声音嘶哑、甲状旁腺损伤、气管损伤方面与对照组比较无显著性差异，差异比较无统计学（Pgt;0.05）。结论 腋窝径路具有手术切口的位置隐、颈胸部创伤小、手术时间短、较好的美容效果的优势。但对于处理对侧甲状腺应该以胸乳径路操作。 【关键词】腋窝径路；胸乳径路；腔镜甲状腺手术；临床疗效 Abstract：the study of axillary approach and breast approach endoscopic thyroidectomy for clinical effect. Method the study object is to select 64 cases underwent endoscopic thyroid surgery patients in our hospital，the clinical data were retrospectively analyzed，and randomly divided into the observation group and the control group，the control group took the breast diameter of endoscopic thyroidectomy in the treatment，the observation group take axillary path of endoscopic thyroidectomy，comparative analysis，two groups of patients with operation time，hospitalization time，amount of bleeding，drainage etc. and general condition of patients with neck and chest discomfort，hoarseness，parathyroid injury，tracheal injury，poor incidence. Results in the observation group，the operation time and the volume of drainage，cervical and thoracic discomfort and the control group have significant difference and the difference had statistical significance（P lt; 0.05）. In the observation group，the hospitalization time，amount of bleeding，hoarseness，parathyroid injury，airway injury and the control group no significant difference，the difference is not statistically（P gt; 0.05）. Conclusion the axillary fossa has the advantages of the position of the surgical incision，the small neck and chest trauma，shorter operation time and better cosmetic effect. But for the treatment of the side of the thyroid gland should be operated by breast milk. Keywords：axillary approach；breast approach；endoscopic thyroid surgery；clinical curative effect 甲状