Zhao H Y, Zeng F, Cheng X M, Feng G L, Li T L, Fang X Y, Luo Y, Luo T T
Department of Thyroid Breast Surgery,the Affiliated Hospital of Zunyi Medical College,Zunyi,563000,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 May 20;30(10):815-817. doi: 10.13201/j.issn.1001-1781.2016.10.014.
To compare the clinical efficacy between the endoscopic thyroidectomy by complete areola approach and the conventional open thyroidectomy.One hundred and twenty-one cases of endoscopic thyroidectomy by complete areola approach or conventional open thyroidectomy patients were reviewed retrospectively, whose operation time, median blood lose, volume of postoperative drainage, incision scar formation rate and patient satisfaction were observed and compared.There were obvious advantages in the median blood lose, volume of postoperative drainage, incision scar formation rate and patient satisfaction in the group of endoscopic thyroidectomy by complete areola approach comparing conventional open thyroidectomy. The difference was statistically significant( <0.05).The method of endoscopic thyroidectomy by complete areola approach is obviously better , which has many advantages, such as Less bleeding, less volume of wound drainage and small skin incision scar. The patients were satisfied with the treatment.It is worthy of clinical application.
比较全乳晕入路腔镜甲状腺切除术与传统开放性甲状腺切除术的临床疗效。回顾性分析121例行全乳晕入路腔镜甲状腺切除术或传统开放性甲状腺切除术患者的临床资料,观察并比较手术时间、术中出血量、术后引流量、切口瘢痕形成率及患者满意度。全乳晕入路腔镜甲状腺切除术组在术中出血量、术后引流量、切口瘢痕形成率及患者满意度方面与传统开放性甲状腺切除术组相比具有明显优势,差异有统计学意义(P<0.05)。全乳晕入路腔镜甲状腺切除术方法明显更优,具有出血少、伤口引流量少、皮肤切口瘢痕小等优点,患者对治疗满意,值得临床应用。