摘要
Abstract
Objective:To observe the therapeutic effects of small incision laparoscopy through axillary approach and thoracomammary approach laparoscopy in the treatment of papillary thyroid carcinoma.Method:Eighty patients with papillary thyroid carcinoma admitted to the Zhejiang Provincial People's Hospital Bijie Hospital from October 2021 to October 2023 were selected and divided into two groups by random envelope method,40 cases in each group.The control group received conventional thoracomammary approach laparoscopy,while the study group received small incision laparoscopy through axillary approach.The clinical efficacy of the two groups was compared.Result:The appearance satisfaction of the study group was higher than that of the control group,and the levels of adrenocorticotropic hormone(ACTH),aldosterone(ALD),cortisol(Cor),procalcitonin(PCT),C-reactive protein(CRP),and visual analogue scale(VAS)score at 3 d after surgery were lower than those of the control group,the surgery time and drainage tube removal time were shorter than those of the control group,and the intraoperative bleeding and postoperative drainage volume were less than those of the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the study group was 5.00%,compared with 12.50%in the control group,the difference was not statistically significant(字2=1.409,P>0.05).Conclusion:Compared with conventional thoracomammary approach laparoscopy in the treatment of papillary thyroid carcinoma,small incision laparoscopy through axillary approach can further improve patient satisfaction with postoperative appearance,reduce postoperative trauma stress and inflammatory stimulation,and help accelerate patient sign recovery while ensuring surgical effectiveness.The treatment is safe and practical.关键词
经腋窝入路小切口腔镜/胸乳入路腔镜/甲状腺微小乳头状癌/外观满意度/创伤应激/炎症刺激/术后并发症Key words
Small incision laparoscopy through axillary approach/Thoracomammary approach laparoscopy/Papillary thyroid carcinoma/Appearance satisfaction/Traumatic stress/Inflammatory stimulation/Postoperative complications
