超聲刀經(jīng)胸乳入路腔鏡下行甲狀腺癌根治術的效果觀察(1)
[摘要] 目的 研究超聲刀經(jīng)胸乳入路腔鏡下行甲狀腺癌根治術的效果及對并發(fā)癥的影響。 方法 回顧性分析本院2012年7月～2014年7月行手術治療的104例甲狀腺癌患者，采用傳統(tǒng)開放手術的患者為對照組，采用超聲刀經(jīng)胸乳入路腔鏡下行甲狀腺癌根治術的患者為觀察組，比較兩組患者的術中出血量、手術時間、術后引流量及住院時間、術后疼痛及并發(fā)癥發(fā)生情況。 結果 觀察組的術中出血量、術后引流量顯著少于對照組，手術時間、住院時間均顯著短于對照組(P<0.05)；觀察組術后3 d內(nèi)的疼痛評分低于對照組(P<0.05)。觀察組術后聲音嘶啞、暫時性低鈣、手足麻木、發(fā)音困難并發(fā)癥發(fā)生率與對照組差異無統(tǒng)計學意義(P>0.05)，但術后總并發(fā)癥發(fā)生率顯著低于對照組(P<0.05)。 結論 超聲刀經(jīng)胸乳入路腔鏡下行甲狀腺癌根治術具有術中出血量少、手術時間短、術后引流量少、住院時間短、術后前期患者疼痛較輕以及術后并發(fā)癥發(fā)生率低等優(yōu)勢，手術效果可靠，是甲狀腺癌較為理想的治療方式。
[關鍵詞] 超聲刀；經(jīng)胸乳入路；腔鏡；甲狀腺癌
[中圖分類號] R736.1 [文獻標識碼] A [文章編號] 1674-4721(2015)05(b)-0065-03
Effect observation of thyroid cancer radical mastectomy using harmonic scalpel by pectoral breast approch under thoracoscopy
JIANG Liang GAO Xiao-shang HU Rong-xiang GONG Xiao-yu
Department of General Hepatobiliary Surgery，Gaoyao People′s Hospital of Guangdong Province，Gaoyao 526000，China
[Abstract] Objective To study the effect of thyroid cancer radical mastectomy using harmonic scalpel by pectoral breast approch under thoracoscopy and the influence of surgery on complication. Methods 104 patients with thyroid cancer treated by surgery from July 2012 to July 2014 were retrospectively analyzed，control group was given traditional open surgery，and observation group was given thyroid cancer radical mastectomy by pectoral breast approch under thoracoscopy.Amount of bleeding during operation， operative time，postoperative drainage volume and hospital stay，postoperative pain and complication in patients between two groups were compared. Results Amount of bleeding during operation，postoperative drainage volume in observation group was obviously less than that of control group respectively，operative time and hospital stay was obviously shorter than that of control group respectively (P<0.05).The postoperative pain score within 3 days after operation in observation group was lower than that of control group (P<0.05).There was no statistical difference of the incidence rate of complication (hoarseness，temporary low calcium，deadlimb，and pronunciation difficulty) after operation between two groups (P>0.05)，but the total incidence rate of postoperative complication in observation group was significantly lower than that of control group (P<0.05). Conclusion Thyroid cancer radical mastectomy by pectoral breast approch under thoracoscopy has the advantage of less amount of bleeding during operation，shorter operation stay，less postoperative drainage volume，and shorter hospital stay and lighter pain in early stage after operation and lowed incidence rate of postoperative complication，operation effect is reliable.It is ideal treatment method in thyroid cancer. (江亮 高小尚 胡榮祥 龔曉玉)
[關鍵詞] 超聲刀；經(jīng)胸乳入路；腔鏡；甲狀腺癌
[中圖分類號] R736.1 [文獻標識碼] A [文章編號] 1674-4721(2015)05(b)-0065-03
Effect observation of thyroid cancer radical mastectomy using harmonic scalpel by pectoral breast approch under thoracoscopy
JIANG Liang GAO Xiao-shang HU Rong-xiang GONG Xiao-yu
Department of General Hepatobiliary Surgery，Gaoyao People′s Hospital of Guangdong Province，Gaoyao 526000，China
[Abstract] Objective To study the effect of thyroid cancer radical mastectomy using harmonic scalpel by pectoral breast approch under thoracoscopy and the influence of surgery on complication. Methods 104 patients with thyroid cancer treated by surgery from July 2012 to July 2014 were retrospectively analyzed，control group was given traditional open surgery，and observation group was given thyroid cancer radical mastectomy by pectoral breast approch under thoracoscopy.Amount of bleeding during operation， operative time，postoperative drainage volume and hospital stay，postoperative pain and complication in patients between two groups were compared. Results Amount of bleeding during operation，postoperative drainage volume in observation group was obviously less than that of control group respectively，operative time and hospital stay was obviously shorter than that of control group respectively (P<0.05).The postoperative pain score within 3 days after operation in observation group was lower than that of control group (P<0.05).There was no statistical difference of the incidence rate of complication (hoarseness，temporary low calcium，deadlimb，and pronunciation difficulty) after operation between two groups (P>0.05)，but the total incidence rate of postoperative complication in observation group was significantly lower than that of control group (P<0.05). Conclusion Thyroid cancer radical mastectomy by pectoral breast approch under thoracoscopy has the advantage of less amount of bleeding during operation，shorter operation stay，less postoperative drainage volume，and shorter hospital stay and lighter pain in early stage after operation and lowed incidence rate of postoperative complication，operation effect is reliable.It is ideal treatment method in thyroid cancer. (江亮 高小尚 胡榮祥 龔曉玉)