腔镜辅助甲状腺切除手术治疗分化型甲状腺癌的疗效分析

王凯1 ，李南林2

（1. 西安北车医院普外科，陕西 西安，710086；2.第四军医大学第一附属医院 西京医院甲乳血管外科，陕西 西安，710032）

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摘要：

目的 探讨腔镜辅助甲状腺切除手术治疗分化型甲状腺癌的临床效果。方法 选取在我院接受手术治疗的60例分化型甲状腺癌患者，采取计算机单盲随机分组方法分为研究组和对照组，各30例。对照组患者接受开放式甲状腺切除术治疗，观察组患者接受腔镜辅助甲状腺切除术治疗，比较两组患者的治疗效果。结果 观察组患者的术中失血量和手术时间及住院时间均明显优于对照组（P<0.05）；观察组患者的并发症总发生率明显低于对照组（P<0.05）；术后随访1年显示，观察组的1年存活率、复发率、远处转移率与对照组比较，差异无统计学意义（P>0.05）。结论 针对分化型甲状腺癌患者采取腔镜辅助甲状腺切除术治疗的临床效果较好，具有手术创伤少、术后并发症少、恢复快等优点，且远期预后较好。

关键词：分化型甲状腺癌；腔镜；甲状腺切除术

中图分类号：R736.1 文献标志码：A文章编号：2096-1413(2017)21-0062-02

Clinical analysis of endoscopic thyroidectomy for differentiated thyroid carcinoma
WANG Kai 1, LI Nan-lin 2
(1. Department of General Surgery, Xi``an Beiche Hospital, Xi``an 710086; 2. Department of Thyroid and Breast Vascular Surgery, Xijing Hospital, the First Affiliated Hospital of the Fourth Military Medical University, Xi``an 710032, China)

ABSTRACT: Objective To explore the clinical effect of endoscopic thyroidectomy for differentiated thyroid carcinoma. Methods Sixty cases of patients with differentiated thyroid carcinoma underwent surgery in our hospital were selected and divided into observation group and control group according to the computer single blind randomized grouping method, with 30 cases in each group. The control group underwent open thyroidectomy for treatment, while the observation group was treated with endoscopic thyroidectomy, then the treatment effects of the two groups were compared. Results The intraoperative blood loss, operation time and hospital stay of the observation group were significantly better than those of the control group (P<0.05). The overall incidence of complications in the observation group was significantly lower than that in the control group (P<0.05). Postoperative follow-up for 1 year showed that there was no significant difference in the 1-year survival rate, recurrence rate and distant metastasis rate between the observation group and the control group (P>0.05). Conclusion For patients with differentiated thyroid carcinoma, endoscopic thyroidectomy has good clinical effect, with less surgical trauma, less postoperative complications and faster recovery, and good long-term prognosis.
KEYWORDS: differentiated thyroid carcinoma; endoscopy; thyroidectomy

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