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目的:探讨经乳晕入路腔镜甲状腺切除术治疗良性甲状腺肿瘤的临床效果及优缺点。方法:回顾分析82例经乳晕入路腔镜甲状腺手术的临床资料,并与95例开放甲状腺手术进行对比,观察两组患者手术时间、失血量、并发症、术后引流管留置时间及引流量、术后C-反应蛋白、术后美容满意度评分、住院时间等。结果:两组患者手术时间、并发症、术后引流管留置时间、术后C反应蛋白、住院时间、复发率差异无统计学意义;腔镜组失血量明显少于开放组,引流量明显多于开放组,术后美容满意度评分明显优于开放组,差异有统计学意义(P<0.05)。结论:与传统开放手术相比,腔镜良性甲状腺瘤切除术具有微创、出血少、美容等优势,是较好的选择。
Objective: To investigate the clinical effect, advantages and disadvantages of endoscopic thyroidectomy for the treatment of benign thyroid neoplasm by means of areola. Methods: The clinical data of 82 cases of endoscopic thyroidectomy undergoing areola were retrospectively analyzed. Compared with 95 cases of open thyroid surgery, the operation time, blood loss, complications, postoperative drainage indwelling time and drainage volume were observed , Postoperative C-reactive protein, postoperative cosmetic satisfaction score, length of stay and so on. Results: There were no significant differences in operative time, complications, postoperative drainage tube indwelling time, postoperative C-reactive protein, length of hospital stay, and recurrence between the two groups. Blood loss in the endoscopic group was significantly less than that in the open group In the open group, postoperative cosmetic satisfaction score was significantly better than the open group, the difference was statistically significant (P <0.05). Conclusion: Compared with the traditional open surgery, endoscopic benign thyroidectomy with minimally invasive, less bleeding, beauty and other advantages, is a better choice.