经乳晕径路腔镜微创手术治疗甲状腺良性结节对围术期应激反应指标及并发症的影响
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摘要
目的分析经乳晕径路腔镜微创手术治疗甲状腺良性结节对围术期应激反应指标及并发症的影响。方法选取78例甲状腺良性结节患者,根据治疗方法的不同将其分为对照组(37例,开放甲状腺手术)与研究组(41例,经乳晕径路腔镜微创手术)。比较两组患者的围术期应激反应指标及并发症发生情况。结果术后即刻、术后24 h,两组患者的中性粒细胞、皮质醇、肾上腺素、空腹血糖水平均上升,但研究组均低于对照组(P<0.05)。研究组并发症总发生率低于对照组(P<0.05)。结论经乳晕径路腔镜微创手术治疗甲状腺良性结节可减轻围术期应激反应,减少并发症。
Objective To analyze the minimally invasive endoscopic surgery of areola approach for benign thyroid nodules on perioperative stress response indexes and complications. Methods A total of 78 patients with benign thyroid nodules were selected and divided into control group(37 cases, open thyroid surgery) and study group(41 cases, minimally invasive endoscopic surgery of areola approach) according to different treatment method. The perioperative stress response indexes and complications were compared between the two groups. Results The neutrophils, cortisol, adrenaline and fasting blood glucose of the two groups increased immediately after surgery and at 24 h after surgery, but those in the study group were lower than the control group(P<0.05). The total incidence of complications in the study group was lower than that in the control group(P <0.05). Conclusion Minimally invasive endoscopic surgery of areola approach for benign thyroid nodules can reduce the perioperative stress response and complications.
Objective To analyze the minimally invasive endoscopic surgery of areola approach for benign thyroid nodules on perioperative stress response indexes and complications. Methods A total of 78 patients with benign thyroid nodules were selected and divided into control group(37 cases, open thyroid surgery) and study group(41 cases, minimally invasive endoscopic surgery of areola approach) according to different treatment method. The perioperative stress response indexes and complications were compared between the two groups. Results The neutrophils, cortisol, adrenaline and fasting blood glucose of the two groups increased immediately after surgery and at 24 h after surgery, but those in the study group were lower than the control group(P<0.05). The total incidence of complications in the study group was lower than that in the control group(P <0.05). Conclusion Minimally invasive endoscopic surgery of areola approach for benign thyroid nodules can reduce the perioperative stress response and complications.
引文
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[2]张琼,董钰英,李铃芳,等.甲状腺手术患者感染及炎性应激状态的研究[J].中华医院感染学杂志,2016,26(14):3246-3248.
[3]高明.甲状腺结节和分化型甲状腺癌诊治指南[J].中国肿瘤临床,2012,39(17):1249-1272.
[4]薛会朝,王雷,程少华,等.经乳晕入路完全腔镜甲状腺手术的操作技巧与体会[J].腹腔镜外科杂志,2017,22(4):256-261.
[5]韩月锋,李灿,梁志宏,等.乳晕入路腔镜甲状腺切除术与传统甲状腺切除术的术后并发症对比研究[J].中华普通外科杂志,2016,31(7):561-564.
[6]梅俊.经乳晕径路分别与胸骨前径路腔镜甲状腺手术治疗甲状腺良性肿瘤的临床对比研究[J].安徽医药,2016,20(8):1554-1556.
[7]侯海春.腹腔镜手术对腹部手术患者围术期应激及凝血功能的影响[J].血栓与止血学,2017,23(2):265-267.
[8]李进.腹腔镜手术对胆囊结石合并急性胆囊炎患者机体应激及免疫功能的影响[J].河北医学,2017,23(9):1440-1444.