腔镜甲状腺良性肿瘤摘除术的临床应用效果研究
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摘要
目的探讨甲状腺良性肿瘤患者行腔镜甲状腺良性肿瘤摘除术的治疗及效果。方法选择2016年1月~2017年2月在我院住院的60例甲状腺良性肿瘤患者作为研究对象。入院后行常规腔镜甲状腺肿瘤切除(观察组)与开放甲状腺肿瘤切除(对照组),由患者决定手术方式。将两组患者的手术时间、术中出血量、切口引流量、术后镇痛需求、住院时间、住院费用、美容满意度进行比较。结果观察组的美容满意度高于对照组(P<0.05);观察组的手术时间、术中出血量、切口引流量、住院时间、住院费用优于对照组(P<0.05);干预前两组生存质量相近(P>0.05);干预后观察组生存质量优于对照组(P<0.05)。观察组术后镇痛需求少于对照组(P<0.05)。结论甲状腺良性肿瘤患者行腔镜甲状腺良性肿瘤摘除术的治疗及效果确切,可有效切除病变,减少术后镇痛需求,改善生存质量,缩短手术和住院时间,减少医疗费用,减少出血量。
Objective To explore the treatment and effect of laparoscopic enucleation of thyroid benign tumor in patients with thyroid benign tumors. Methods 60 patients with thyroid benign tumor who were hospitalized in our department from January 2016 to February 2017 were selected as the study subjects. After the admission, conventional endoscopic thyroid tumor resection(observation group) and open enucleation of thyroid benign tumor(control group)were introduced to the patients and the surgical ways were decided by the patients. The operative time, intraoperative blood loss, incision drainage volume, postoperative analgesia requirement, hospital stay, hospitalization costs, and cosmetic satisfaction were compared between the two groups. Results The cosmetic satisfac tion of the observation group was higher than that of the control group(P<0.05). The operation time, intraoperative blood loss, incision drainage volume,hospital stay and hospitalization cost of the observation group were better than those of the control group(P<0.05). The quality of life between the two groups was similar before the intervention(P>0.05). The quality of life in the observation group after intervention was better than that in the control group(P<0.05). The need for postoperative analgesia was lower in the observation group than that in the control group(P<0.05). Conclusion The laparoscopic enucleation of thyroid benign tumor in the treatment of patients with benign thyroid tumor has positive effect, which can effectively remove the disease, reduce the need for postoperative analgesia, improve the quality of life, shorten the operation and hospital stay, reduce medical costs and the amount of bleeding.
Objective To explore the treatment and effect of laparoscopic enucleation of thyroid benign tumor in patients with thyroid benign tumors. Methods 60 patients with thyroid benign tumor who were hospitalized in our department from January 2016 to February 2017 were selected as the study subjects. After the admission, conventional endoscopic thyroid tumor resection(observation group) and open enucleation of thyroid benign tumor(control group)were introduced to the patients and the surgical ways were decided by the patients. The operative time, intraoperative blood loss, incision drainage volume, postoperative analgesia requirement, hospital stay, hospitalization costs, and cosmetic satisfaction were compared between the two groups. Results The cosmetic satisfac tion of the observation group was higher than that of the control group(P<0.05). The operation time, intraoperative blood loss, incision drainage volume,hospital stay and hospitalization cost of the observation group were better than those of the control group(P<0.05). The quality of life between the two groups was similar before the intervention(P>0.05). The quality of life in the observation group after intervention was better than that in the control group(P<0.05). The need for postoperative analgesia was lower in the observation group than that in the control group(P<0.05). Conclusion The laparoscopic enucleation of thyroid benign tumor in the treatment of patients with benign thyroid tumor has positive effect, which can effectively remove the disease, reduce the need for postoperative analgesia, improve the quality of life, shorten the operation and hospital stay, reduce medical costs and the amount of bleeding.
引文
[1]李霖源,麦建全,叶绍江.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].中国当代医药,2017,24(32):39-42.
[2]倪鹏,李红阳.腔镜辅助颈部小切口手术治疗甲状腺良性肿瘤的临床效果[J].中国医药导报,2016,13(16):35-37,49.
[3]王瑞胜.腔镜辅助颈部小切口手术在甲状腺良性肿瘤治疗中的应用[J].河南医学研究,2017,26(3):531-532.
[4]Cong Hui,Li T,Chen G,et al.Missed initial diagnosis of malignant struma ovarii containing follicular thyroid carcinoma:Metastatic pulmonary recurrence 17 yr after ovariectomy[J].International Journal of Gynecological Pathology:Official Journal of the International Society of Gynecological Pathologists,2015,34(5):430-449.
[5]刘大文.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[J].医学综述,2013,19(12):2304-2305.
[6]田洪森,高祀岩.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疗效比较[J].中国基层医药,2014,24(21):3220-3222.
[7]Rogounovitch TI,Bychkov A,Takahasi M,et al.The common genetic variant rs944289 on chromosome 14q13.3associates with risk of both malignant and benign thyroid tumors in the Japanese population[J].Thyroid:Official Journal of the American Thyroid Association,2015,25(3):333-340.
[8]聂炜.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[J].中外医疗,2015,13(15):56-57.
[9]徐荣,安媛,梁秦龙,等.腔镜辅助微创手术治疗甲状腺良性肿瘤[J].现代肿瘤医学,2011,19(5):868-869.
[10]王畅,黄盛,刘斌,等.腔镜辅助颈部小切口手术与传统甲状腺手术治疗甲状腺良性肿瘤的对比研究[J].中国现代普通外科进展,2011,14(9):723-725.
[11]Nader Saki,Hamed Poostchi Bonab,Nastaran Ran jbari,et al.Correlation of KI-67/MIB-1 in the papillary macro and micro-carcinomas of the thyroid gland with the prognosis of the patients[J].Asian Journal of Cell Biology,2015,10(1):13-18.
[12]李吉,刘卫怀,邬一军,等.腔镜辅助下小切口甲状腺手术治疗甲状腺良性肿瘤的疗效及安全性[J].中国现代医生,2014,21(29):137-139,142.
[13]李婷,刘新梅,耿金秀,等.颈前小切口入路与改良Miccoli腔镜辅助下手术治疗甲状腺良性肿瘤的临床研究[J].中国医刊,2016,51(5):68-71.
[14]Jones Martin,Chebib Ivan,Deshpande Vikram,et al.Radiation-associated low-grade extraskeletal osteosarcoma of the neck following treatment for thyroid cancer[J].International Journal of Surgical Pathology,2015,23(5):384-387.
[15]王占龙.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对比分析[J].中外医疗,2016,35(7):37-39.
[2]倪鹏,李红阳.腔镜辅助颈部小切口手术治疗甲状腺良性肿瘤的临床效果[J].中国医药导报,2016,13(16):35-37,49.
[3]王瑞胜.腔镜辅助颈部小切口手术在甲状腺良性肿瘤治疗中的应用[J].河南医学研究,2017,26(3):531-532.
[4]Cong Hui,Li T,Chen G,et al.Missed initial diagnosis of malignant struma ovarii containing follicular thyroid carcinoma:Metastatic pulmonary recurrence 17 yr after ovariectomy[J].International Journal of Gynecological Pathology:Official Journal of the International Society of Gynecological Pathologists,2015,34(5):430-449.
[5]刘大文.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[J].医学综述,2013,19(12):2304-2305.
[6]田洪森,高祀岩.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疗效比较[J].中国基层医药,2014,24(21):3220-3222.
[7]Rogounovitch TI,Bychkov A,Takahasi M,et al.The common genetic variant rs944289 on chromosome 14q13.3associates with risk of both malignant and benign thyroid tumors in the Japanese population[J].Thyroid:Official Journal of the American Thyroid Association,2015,25(3):333-340.
[8]聂炜.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[J].中外医疗,2015,13(15):56-57.
[9]徐荣,安媛,梁秦龙,等.腔镜辅助微创手术治疗甲状腺良性肿瘤[J].现代肿瘤医学,2011,19(5):868-869.
[10]王畅,黄盛,刘斌,等.腔镜辅助颈部小切口手术与传统甲状腺手术治疗甲状腺良性肿瘤的对比研究[J].中国现代普通外科进展,2011,14(9):723-725.
[11]Nader Saki,Hamed Poostchi Bonab,Nastaran Ran jbari,et al.Correlation of KI-67/MIB-1 in the papillary macro and micro-carcinomas of the thyroid gland with the prognosis of the patients[J].Asian Journal of Cell Biology,2015,10(1):13-18.
[12]李吉,刘卫怀,邬一军,等.腔镜辅助下小切口甲状腺手术治疗甲状腺良性肿瘤的疗效及安全性[J].中国现代医生,2014,21(29):137-139,142.
[13]李婷,刘新梅,耿金秀,等.颈前小切口入路与改良Miccoli腔镜辅助下手术治疗甲状腺良性肿瘤的临床研究[J].中国医刊,2016,51(5):68-71.
[14]Jones Martin,Chebib Ivan,Deshpande Vikram,et al.Radiation-associated low-grade extraskeletal osteosarcoma of the neck following treatment for thyroid cancer[J].International Journal of Surgical Pathology,2015,23(5):384-387.
[15]王占龙.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对比分析[J].中外医疗,2016,35(7):37-39.