探讨腔镜微创术在甲状腺肿瘤治疗中的应用观察.docVIP

精品论文 参考文献 探讨腔镜微创术在甲状腺肿瘤治疗中的应用观察 大庆油田总医院 163000 　　【摘 要】 目的：研究分析腔镜微创术在甲状腺肿瘤治疗中的应用价值。方法：此次研究的对象是选择2012-2014年收治甲状腺肿瘤患者70例，将其临床资料进行回顾性分析，并根据患者手术方式分为观察组及对照组，各35例，观察组在腔镜下行甲状腺切除术，对照组采用传统开放甲状腺切除术治疗，比较两组手术时间、术中出血量、术后引流量，同时记录两组术后并发症发生情况。结果：观察组手术时间短、术中出血量及术后引流量少，与对照组比较差异有统计学意义（Plt;0.05）；两组术后并发症比较差异无统计学意义（Pgt;0.05）。结论：腔镜下经胸乳入路小切口甲状腺切除术治疗甲状腺肿瘤，具有术中出血少、术后恢复快等优点，兼具治疗与美容效果，是外科治疗甲状腺疾病的理想治疗方案。 　　【关键词】 甲状腺肿瘤；腔镜；经胸乳入路；喉返神经；临床疗效 　　[Abstract] Objective: To study the application value of laparoscopic minimally invasive surgery in the treatment of thyroid cancer. Methods: the object of this study is to select 2012-2014 patients from thyroid tumor in 70 cases, the retrospective analysis of the clinical data, and according to the operation were divided into observation group and control group, each of 35 cases, the observation group underwent laparoscopic thyroidectomy in the treatment, control group used conventional open thyroidectomy, between the two groups in operation time the amount of intraoperative bleeding, postoperative drainage, and record the occurrence of complications of the two groups after operation. Results: the operation time of the observation group was shorter, the amount of bleeding and less postoperative drainage, the difference was statistically significant (Plt;0.05). There was no significant difference in the postoperative complications between the two groups (Pgt;0.05). Conclusion: endoscopic thyroidectomy via breast approach small incision thyroidectomy for thyroid tumor, with less bleeding, quick postoperative recovery, both treatment and cosmetic effect, is the ideal treatment for the surgical treatment of thyroid diseases. [Key words] thyroid neoplasms; Laparoscopy; gasless; recurrent laryngeal nerve; clinical curative effect 甲状腺疾病在我国是一种常见疾病，其中女性患者居多，疾病的产生与各地区水中碘含量相关，通常情况下需手术方式进行治疗。传统开放性手术颈部留有瘢痕，影响美观[1]。腔镜甲状腺肿瘤切除微创术是近年来开展的新型手术方式，1997年Huscher完成首例腔镜甲状腺手术，我国自2002年开始开展此手术，腔镜下治疗甲状腺应用日益发展并完善[2]。本文介绍收治的70例甲状腺肿瘤患者的资料，将腔镜下进行甲状腺手术的效果及临床经验介绍如下。 　　 1资料与方法