摘要
Abstract
Objective:To investigate the safety and effectiveness of endoscopic thyroid surgery using non-inflatable transaxillary approach in patients with unilateral papillary thyroid carcinoma.Method:A total of 80 patients with unilateral papillary thyroid carcinoma admitted to the branch of Huai'an First People's Hospital from February 2022 to May 2024 were selected as the study objects and divided into the control group and the observation group according to different treatment methods,with 40 cases in each group.The control group was treated with traditional cervical incision thyroid surgery,while the observation group was treated with non-inflatable endoscopic thyroid surgery via axillary approach.The operation-related indexes of the two groups were compared.Serum parathyroid hormone and blood calcium levels before and 1 day after surgery.The degree of pain and discomfort 1 day,3 days and 5 days after surgery and the incidence of postoperative complications.Result:There was no significant difference in the number of lymph nodes dissection between the two groups(P>0.05).Compared with the control group,the operation time of the observation group was slightly longer,the intraoperative blood loss and postoperative drainage volume were relatively less,and the difference was statistically significant(P<0.05).There were no significant differences in PTH and blood calcium levels between the two groups before and 1 day after surgery(P>0.05).The visual analogue pain score of the observation group was lower than that of the control group 3 d and 5 d after surgery,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Compared with traditional neck incision surgery,non-inflatable transaxillary endoscopic thyroid surgery for the treatment of unilateral papillary thyroid carcinoma has a slightly longer operation time,but this method has less intraoperative bleeding and postoperative drainage,reduced postoperative pain,and a lower risk of postoperative complications.关键词
无充气经腋窝入路/腔镜手术/甲状腺乳头状癌/并发症Key words
Non-inflatable/Endoscopic surgery/Papillary thyroid carcinoma/Complication
