摘要
Abstract
Objective:To compare the clinical efficacy of transaxillary gasless endoscopic thyroid surgery with conventional open surgery.Methods:The clinical data of 96 patients with unilateral thyroid tumor who underwent surgical treatment from Oct.2021 to Oct.2022 were analyzed.Among them,48 patients in the observation group underwent transaxillary approach gasless endoscopic thyroid surgery,and 48 patients in the control group underwent conventional open thyroid surgery.The surgical time,intraoperative blood loss,postoperative hospital stay,postoperative complication rate,postoperative incision satisfaction rate,and postoperative anterior neck discomfort rate were compared between the two groups.Results:The surgical time of the observation group was longer than that of the control group,and the difference between the two groups was statistically significant(P<0.05);the differences in intraoperative blood loss,postoperative hospital stay,and postoperative complication rate were not statistically significant(P>0.05);the postoperative inci-sion satisfaction rate was higher in the observation group than that in the control group,and the difference was statistically significant(P<0.05),and the incidence of postoperative anterior neck discomfort was higher in the control group than that in the observation group,and the difference was statistically significant(P<0.05).Conclusions:Under the conditions of strict control of the indications for endoscopic thyroid surgery and better experience of the operator in endoscopic surgery,gasless endoscopic thyroid surgery through the axillary approach is safe and reliable with good cosmetic results,and worthy of promotion.关键词
甲状腺肿瘤/甲状腺切除术/内窥镜检查/经腋窝入路/免充气/对比研究Key words
Thyroid neoplasms/Thyroidectomy/Endoscopy/Transaxillary approach/Gasless/Comparative study分类
医药卫生
