腔镜与传统甲状腺手术的临床对比分析

腔镜辅助颈部小切口手术与传统开放手术治疗甲状腺良性肿瘤的临床对比分析刘大文【摘要】Objective To study the possibility and safety of endoscopic-assisted mini-incision thyroidectomy.Methods According to the treatment indications and families advices,47 cases admitted to the First Hospital of Huangshi of Hubei Province from January 2010 to June 2011 were divided into treating group and control group.30 cases of treating group were treated with endoscopic-assisted mini-incision thyroidectomy,17 cases of control group with traditional thyroidectomy.The clinical efficacy and postoperative complications of the two groups was observed and compared.Results The operating time of operation in the treating group was significantly longer than that in the control group(P ＜ 0.05).The volume of hemorrhage during operation was less than that in the control group (P ＜ 0.05).The length of postoperative hospital stay were shorter than that in the control group(P ＜0.05).The recurrent rate during the one year follow-up of the two groups had no difference(P ＞ 0.05).All patients of the treating group were satisfied with the cosmetic results,but 7 patients in the control group complained of unsatisfactory cosmetic (P ＜ 0.05) ; postoperative complication incidence was significantly lower than the control group (10.0％ vs 35.29％,P ＜ 0.05).Conclusion Endoscopic-assisted mini-incision thyroidectomy is a safe and effective method with fine cosmetic result,and it is worthy of popularization and application inclinical.%目的探讨腔镜辅助颈部小切口手术治疗甲状腺良性肿瘤的可能性与安全性.方法将湖北省黄石第一医院自2010年1月至2011年6月收治的47例甲状腺良性肿瘤患者根据治疗适应证和家属意见分为两组,治疗组(30例)患者行腔镜辅助颈部小切口手术,对照组(17例)患者行传统开放手术.观察、比较两组患者的临床疗效及术后并发症的情况.结果治疗组手术时间显著多于对照组；治疗组术中出血量、术后住院时间显著少于对照组(P＜0.05)；术后随访1年,两组复发率比较差异无统计学意义(P＞0.05).治疗组患者术后均对切口瘢痕满意,对照组有7例患者对切口瘢痕不满意,两组比较差异有统计学意义(P＜0.05)；治疗组术后并发症发生率显著低于对照组(10.0％ vs 35.29％) (P ＜0.05).结论腔镜辅助颈部小切口手术治疗甲状腺良性肿瘤效果肯定,在美容效果上有明显优势,值得在临床上推广应用.【期刊名称】《医学综述》【年(卷),期】2013(019)012【总页数】2页(P2304-2305)【关键词】甲状腺良性肿瘤;甲状腺切除术;手术治疗;疗效评估【作者】刘大文【作者单位】湖北省黄石第一医院肿瘤外科,湖北黄石435000【正文语种】中文【中图分类】R736甲状腺良性肿瘤，临床较为常见。

全腔镜手术与传统手术治疗甲状腺良性病变的临床效果比较房磊;徐玮【期刊名称】《实用临床医药杂志》【年(卷),期】2017(021)017【摘要】目的比较全腔镜手术与传统手术治疗甲状腺良性病变的临床效果.方法回顾性分析139例因甲状腺良性病变来本院甲乳外科行手术治疗的患者,根据患者采用的术式不同分为腔镜手术组(研究组)和传统手术组(对照组),分析2组患者的临床治疗效果.结果全腔镜手术组患者的手术时间、术中出血量、切口长度和住院时间均显著低于对照组(P＜0.05).术前2组患者血清IL-6和TNF-α水平无显著差异(P＞0.05);术后2组患者的血清炎症因子水平均显著上升,且研究组显著低于对照组(P＜0.05).2组颈部不适感、喉上神经损伤和喉返神经损伤的患者例数比较无显著差异(P＞0.05);研究组的血肿和总并发症人数显著低于对照组(P＜0.05).研究组切口总体满意度98.51％,显著高于对照组的87.50％(P＜0.05).结论采用全腔镜手术治疗甲状腺良性病变手术创伤较小、出血量少、住院时间短,并发症少,患者满意度高.【总页数】3页(P86-88)【作者】房磊;徐玮【作者单位】山东省济宁市第一人民医院乳腺甲状腺外科,山东济宁,272000;山东省济宁市第一人民医院乳腺甲状腺外科,山东济宁,272000【正文语种】中文【中图分类】R581【相关文献】1.甲状腺良性肿瘤患者60例应用腔镜辅助颈部小切口手术治疗与传统甲状腺手术治疗对比分析 [J], 刘永国2.腔镜手术和开放甲状腺手术治疗甲状腺良性疾病的临床效果比较 [J], 王辉;张培陪;韩志敏3.全腔镜下甲状腺良性肿瘤切除术与传统开放性手术治疗甲状腺良性肿瘤的临床研究 [J], 李霖源;麦建全;叶绍光4.全腔镜手术与传统手术治疗早期分化型甲状腺癌的临床效果比较 [J], 雷大钊5.经胸乳径路腔镜甲状腺手术与传统甲状腺手术治疗单侧甲状腺良性病变的对比研究 [J], 邓爽;刘伟;何贤禄;米凯因版权原因，仅展示原文概要，查看原文内容请购买。

甲状腺癌患者应用完全腔镜下甲状腺癌根治术与传统开放性手术的疗效对比作者：姜明明来源：《中国实用医药》2019年第35期【摘要】目的研究甲狀腺癌患者应用完全腔镜下甲状腺癌根治术的临床效果以及与传统开放性手术的疗效。

方法 56例甲状腺癌患者，根据手术方法不同分为对照组（30例）和观察组（26例）。

对照组患者采用传统开放性手术治疗;观察组患者采用完全腔镜甲状腺癌根治术治疗。

比较两组患者围手术期和手术相关并发症的发生情况、手术时间、术中出血量、术后住院时间、负性生存质量评分。

结果观察组患者手术时间（98.21±20.07）min、术后住院时间（3.26±1.25）d短于对照组的（138.38±21.71）min、（5.38±1.28）d，术中出血量（23.26±3.12）ml少于对照组的（39.46±3.25）ml，差异具有统计学意义（P<0.05）。

观察组患者围手术期和手术相关并发症发生率为11.54%，低于对照组的36.67%，差异具有统计学意义（P<0.05）。

随访3、6个月，观察组患者疼痛、失眠、食欲不振及恶心、呕吐评分均低于对照组，差异具有统计学意义（P<0.05）。

结论采用完全腔镜下甲状腺癌根治术治疗甲状腺癌效果更好，并发症发生率更低，术后生活质量更高，值得于甲状腺恶性肿瘤临床治疗中借鉴和参考。

【关键词】甲状腺癌;腔镜;甲状腺癌根治术;并发症;开放性手术DOI：10.14163/ki.11-5547/r.2019.35.004【Abstract】 Objective; ;To study the efficacy of between complete endoscopic thyroidectomy and traditional open surgery in thyroid carcinoma patients. Methods; ;A total of 56 thyroid carcinoma patients were divided into control group （30 cases） and observation group （26 cases） by different surgical methods. The control group was treated by traditional open surgery， and the observation group was treated by complete endoscopic thyroidectomy. Comparison was made on occurrence of perioperative and operation related complications， operation time， amount of intraoperative hemorrhage， postoperative hospitalization time and negative quality of life score between the two groups. Results; ;The operation time （98.21±20.07） min and postoperative hospitalization time （3.26±1.25） d in the observation group was shorter than （138.38±21.71）min;and （5.38±1.28） d in the control group， and amount of intraoperative hemorrhage（23.26±3.12） ml was less than （39.46±3.25） ml in the control group. Their difference was statistically significant （P<0.05）. The incidence of perioperative and operation related complications was 11.54% in the observation group， which was lower than 36.67% in the control group， and the difference was statistically significant （P<0.05）. After 3 and;6 months of follow-up， the pain， insomnia， anorexia， nausea and vomiting score in the observation group was lower than those in the control group， and their difference was statistically significant （P<0.05）. Conclusion; ;Complete endoscopic thyroidectomy shows better therapeutic effect in thyroid carcinoma patients， with lower incidence of complications and higher quality of life after operation. It is worthy of reference in the clinical treatment of thyroid malignant tumors.【Key words】 Thyroid carcinoma; Endoscopic; Thyroidectomy; Complications; Open surgery甲状腺癌是内分泌系统最为常见的恶性肿瘤，发病率以每年6%左右的速度上升，且发病人群逐渐年轻化，尤其以女性为主，已经和生殖系统肿瘤、乳腺肿瘤并称为“女性健康三大杀手”。

临床医学DOI：10.16662/ki.1674-0742.2024.05.086比较腔镜与开放式甲状腺手术治疗良性甲状腺瘤的临床疗效黄绍龙，龙杨，何锋辉铜仁市人民医院甲乳外科，贵州铜仁554300［摘要］目的探讨腔镜与开放式甲状腺手术治疗良性甲状腺瘤的临床疗效。

方法方便选取2022年6月—2023年5月铜仁市人民医院甲乳外科收治的74例良性甲状腺瘤患者为研究对象，随机数表法分为两组，各37例，对照组采用开放式甲状腺手术治疗，观察组采用腔镜辅助小切口手术治疗，对比两组手术相关指标、不同时间点疼痛情况、并发症、生活质量。

结果观察组的切口长度、术中出血量、术后引流量、拔管及住院时间均优于对照组，差异有统计学意义（P均<0.05）。

观察组术后4、12、24 h疼痛评分低于对照组，差异有统计学意义（P均<0.05）。

观察组并发症发生率为2.70%，低于对照组的16.22%，差异有统计学意义（χ2=3.945，P< 0.05）。

干预后，观察组各项生存质量评分均高于对照组，差异有统计学意义（P均<0.05）。

结论相比开放式手术，甲状腺瘤良性患者采用腔镜下小切口手术，能减少出血，缩短恢复时间，降低并发症风险，提高生活质量。

［关键词］良性甲状腺瘤；甲状腺手术；腔镜；开放式甲状腺手术［中图分类号］R4 ［文献标识码］A ［文章编号］1674-0742（2024）02(b)-0086-04Comparing the Clinical Efficacy of Laparoscopic and Open Thyroid Sur⁃gery in the Treatment of Benign Thyroid TumorsHUANG Shaolong, LONG Yang, HE FenghuiDepartment of Nail and Breast Surgery, Tongren People's Hospital, Tongren, Guizhou Province, 554300 China[Abstract] Objective To explore the clinical efficacy of laparoscopic and open thyroid surgery in the treatment of be⁃nign thyroid tumors.Methods A total of 74 patients with benign thyroid tumor admitted to the Department of Thyroid and Breast Surgery of Tongren People's Hospital from June 2022 to May 2023 were conveniently selected as the study objects and were divided into two groups with 37 cases in each group by random number table method. The control group received open thyroid surgery and the observation group received laparoscope-assisted small-incision surgery. The surgical indicators, pain, complications and quality of life of the two groups were compared.Results The incision length, intraoperative blood loss, postoperative drainage volume, extubation and hospital stay in the observation group were better than those in the control group, and the difference was statistically significant (all P<0.05). The pain scores of the observation group at 4, 12 and 24 h after operation were lower than those of the control group, and the dif⁃ference was statistically significant (all P<0.05). The incidence of complications in the observation group was 2.70%, lower than that in the control group (16.22%), and the difference was statistically significant (χ2=3.945, P<0.05). After intervention, all quality of life scores in the observation group were higher than those in the control group, and the dif⁃ference was statistically significant (all P<0.05).Conclusion Compared with open surgery, endoscopic small incision surgery for benign thyroid tumors can reduce bleeding, shorten recovery time, reduce the risk of complications, and im⁃prove the quality of life.[Key words] Benign thyroid tumors; Thyroid surgery; Laparoscopy; Open thyroid surgery[作者简介] 黄绍龙（1984-），男，本科，主治医师，研究方向为甲状腺、乳腺疾病。

腔镜辅助小切口甲状腺手术与传统手术效果比较观察发表时间：2018-09-12T10:59:48.217Z 来源：《中国研究型医院》2018年5卷3期作者：秦昌国[导读] 腔镜辅助小切口甲状腺手术较传统手术比较，具有创伤小、患者术后恢复快，患者满意度高等优点，适用于不超过4cm的良性甲状腺结节。

铁力市人民医院黑龙江铁力市 152500 【摘要】目的比较腔镜辅助小切口甲状腺手术与传统手术在良性甲状腺结节中的临床效果。

方法选择我院2016年7月-2017年7月收治的良性甲状腺结节患者102，随机分为观察组和对照组，每组51例，观察组行腔镜辅助小切口甲状腺手术，对照组行传统手术治疗，比较两组手术时间、术中出血量、引流量、引流时间、住院时间、住院费用、并发症发生率及美容效果。

结果观察组无论单侧还是双侧手术，手术时间、住院费用明显高于对照组；观察组术中出血量、引流总量、引流时间及住院时间均显著少于对照组；观察组术后并发症发生率5.88%，显著低于对照组21.57%；观察组满意度评分显著高于对照组，差异均有统计学意义(P<0．05)。

结论腔镜辅助小切口甲状腺手术较传统手术比较，具有创伤小、患者术后恢复快，患者满意度高等优点，适用于不超过4cm的良性甲状腺结节。

【关键词】甲状腺结节：腔镜辅助；传统手术；甲状腺切除术Observation on the effect of endoscopic assisted small incision thyroid surgery and traditional operation [Summary] Objective To compare the clinical effect of endoscopic small incision thyroid surgery with traditional operation in benign thyroid node. Methods 102 patients with benign thyroid nodules admitted to our hospital from July 2016 to July 2017 were randomly divided into an observation group and a control group of 51 patients in each group. The observation group performed endoscopic assisted small-incision thyroid surgery and the control group performed traditional surgical treatment. Comparison of operation time, intraoperative bleeding volume, drainage, drainage time, hospitalization time, hospitalization cost, complication incidence and cosmetic effect between the two groups Results The time of operation and the cost of hospitalization were significantly higher in the observation group than in the control group. The bleeding volume, total drainage, drainage time and hospitalization time in the group were all significantly lower than those in the control group. The incidence of postoperative complications in the observation group was 5.88 %, which was significantly lower than that in the control group of 21.57 %. The satisfaction score of the observation group was significantly higher than that of the control group, and the differences were statistically significant(P<0．05)。