经口腔前庭入路与完全乳晕入路腔镜甲状腺手术的对比研究

摘要

Objective:To compare the clinical significance between endoscopic thyroidectomy via the oral vestibular approach (ETOVA) and endoscopic thyroidectomy via complete areola approach (ETCAA).Methods:The clinical data of 42 patients with thyroid surgery from Oct.2015 to Dec.2016 were retrospectively analyzed.According to the different surgical methods,the patients were divided into ETOVA group (n =21) and ETCAA group (n =21).Comparison was made between the two groups in intraoperative and postoperative data.Results:No significant differences were found between the two groups in the operation time,estimated intraoperative blood loss,hospital stay,white blood cell count,erythrocyte sedimentation rate and C-reactive protein (P ＞ 0.05).However,the difference of postoperative pain score was statistically significant (P ＜ 0.05).Conclusions:ETOVA has a better cosmetic effect and less postoperative pain,it not only has good efficiency,but also fulfills the cosmetic demands of young patients.Regarding to the mandibular flat characteristics of Chinese,this surgical method is worthy of promotion and clinical application.%目的:对比研究经口腔前庭入路与完全乳晕入路腔镜甲状腺手术的临床疗效与应用价值.方法:回顾分析2015年10月至2016年12月为42例患者行甲状腺手术的临床资料,根据手术方式分为经口腔前庭入路腔镜甲状腺切除术组(经口腔组,n =21)与完全乳晕入路腔镜甲状腺切除术组(乳晕组,n=21),对比分析两组患者术中及术后相关情况.结果:两组患者手术时间、术中出血量、住院时间、白细胞计数、红细胞沉降率、C-反应蛋白差异无统计学意义(P＞0.05),术后疼痛评分差异有统计学意义(P＜0.05).结论:经口腔前庭腔镜甲状腺手术具有更好的美容效果,术后患者疼痛轻,结合中国人下颌骨扁平的特点,手术方式值得推广与应用,且在保证良好手术效果的同时满足了年轻甲状腺疾病患者的美容要求.