目的 探讨腔镜辅助甲状腺手术在甲状腺肿块中的应用价值.方法 2011年5月～2011年9月收治的85例甲状腺肿块患者按手术方式不同分为两组,腔镜辅助小切口甲状腺手术组(A组)40例,传统手术组(B组)45例.结果 两组手术均顺利完成,未出现饮水呛咳、声音嘶哑、手足抽搐等不良反应.腔镜手术组手术时间并不比传统手术组长,住院费用无显著差别,腔镜组术后引流量、引流时间较少,住院时间短,差异有显著性,且术后1～3个月随访,传统手术组颈部感觉减退、皮肤紧张感程度较明显,而腔镜组切口美容满意度较高,差异有显著性.结论 腔镜辅助甲状腺手术具有切口小、创伤小、恢复快的优点,对于病灶不超过6 cm的甲状腺肿块以及无局部淋巴结转移的早期乳头状、滤泡状癌是安全有效的术式.%[Objective] To compare the video-assisted thyroidectory and conventional thyroidectormy as well as explore the feasibility and efficacy of endoscopic-assisted thyroidectomy. [Methods] According to different surgical techniques. 85 patients were divided into 2 groups, 40 patients underwent video-assisted thyroidectomy group A. 45 patients underwent conventional thyroidectomy (groups B). Incision satisfaction, operation time, blood loss, postoperative drainage and the average average cost of hospitalization were compared between the two groups. [ Results ] All operations were successfully completed with no complications, such as hoarseness and tetany.AU the patients were satisfied with incision. The operation time, and the cost of hospitalization of group A and group B were not different, the post-operation draw-water of group A and group B was different significantly. Group A showed better results in the symptom of swallowing discomfort and cosmetic outcome compared with group B. [Conclusion] Endoscopic-as-sisted thyroidectomy is feasible and safe. Compared with conventional thyroidectomy, endoscopic-assisted thyroidec- tomy shows better cosmetic outcome and is less traumatic.
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