中国医药科学Issue(19)：206-208,3.
超声刀经胸乳入路腔镜下行甲状腺癌根治术疗效及安全性分析
An analysis of the curative effect and safety of endoscopic radical operation for thyroid carcinoma with ultrasonic knife via thoracic and mammary approach
卢雄伟 1许杰艺 1赖建国 1冼德伟 1陈永娟1
作者信息
- 1. 广东省阳江市第三人民医院，广东阳江529500
- 折叠
摘要
Abstract
Objective To explore the clinical effect and safety of endoscopic radical operation for thyroid carcinoma with ultrasonic knife via thoracic and mammary approach. Methods 48 patients with thyroid carcinoma who were admitted to our hospital from February 2012 to February 2014 were allocated to a control group and an observation group according to their admission order, with 24 patients in each group. The control group received conventional open surgery, while the observation group received endoscopic radical operation for thyroid carcinoma with ultrasonic knife via thoracic and mammary approach. The clinical effects between the two groups were compared. Results Difference of surgery time of the two types of surgery was not statistically significant(P > 0.05); the amount of bleeding in the control group was larger than that in the observation group, postoperative drainage time and hospitalization time were longer than those in the observation group, and the incidence of complications was also higher than that in the observation group. The differences were all statistically significant(P<0.05);pain scores in the observation group in the first day and third day after the surgery were both lower than those in the control group, and the differences were statistically significant(P<0.05). Difference of the pain scores in the fifth day in the two groups was not statistically significant(P > 0.05). Conclusion Endoscopic radical operation for thyroid carcinoma with ultrasonic knife via thoracic and mammary approach helps shorten postoperative drainage time and hospitalization time and lower the incidence of complications. It also has minor trauma with less pain for patients and is therefore worthy of clinical application and promotion.关键词
胸乳入路/胸腔镜/超声刀/甲状腺癌根治术Key words
Thoracic and mammary approach/Thoracoscope/Ultrasonic knife/Radical operation for thyroid carcinoma分类
医药卫生引用本文复制引用
卢雄伟,许杰艺,赖建国,冼德伟,陈永娟..超声刀经胸乳入路腔镜下行甲状腺癌根治术疗效及安全性分析[J].中国医药科学,2014,(19):206-208,3.
