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中国现代手术学杂志  2018, Vol. 22 Issue (1): 18-21    DOI: 10.16260/j.cnki.1009-2188.2018.01.005
  临床论著 |
经腋窝入路单孔腔镜甲状腺手术临床疗效分析
唐志强,单远洲
上海市奉贤区中心医院普外科,上海 201400
The Clinical Effect of Single-site Laparoscopic Thyroidectomy by the Axillary Approach
TANG Zhi-qiang,SHAN Yuan-zhou
Department?of?General?Surgery,Shanghai?Fengxian?District?Central?Hospital,Shanghai?201400,China
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摘要 ?目的?探讨经腋窝入路单孔腔镜甲状腺手术的临床疗效。方法?选取2016年1月~12月在我院行经腋窝入路单孔腔镜甲状腺手术的甲状腺疾病患者40例作为观察组,其中甲状腺瘤23例,结节性甲状腺肿17例;另取2014年12月~2015年12月行开放甲状腺手术的甲状腺疾病患者40例作为对照组,其中甲状腺瘤22例,结节性甲状腺肿18例。比较两组手术情况、临床疗效、美容效果及并发症。结果?观察组出血量及术后住院时间均低于对照组,手术时间长于对照组,美容效果NSS评分及临床有效率高于对照组,差异有统计学意义 (P<0.05),但两组术后第1d引流量比较差异无统计学意义(P>0.05)。术后观察组发生皮下积液2例,神经损伤2例,对照组发生神经损伤3例(7.5%),两组并发症发生率比较无统计学差异(P>0.05)。结论?经腋窝入路单孔腔镜甲状腺手术,可有效改善手术情况及临床效果,提高美容效果,值得推广。
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唐志强,单远洲
关键词:  经腋窝入路  腹腔镜检查  甲状腺切除术    
Abstract: Objective?To investigate the clinical effect of single-site laparoscopic thyroidectomy by the axillary approach for treatment of thyroiddiseases.Methods?A retrospective analysis was conducted in 80 cases with thyroiddiseases.40 cases admitted from January 2016 to December 2016 were regarded as the observation group and performed single-site laparoscopic thyroidectomy by the axillary approach,including 23 cases of thyroma and 17 cases of nodular goiter; Another 40 cases selected from December 2014 to December 2015 were regarded as the control group and carried out open thyroidectomy.Results?The blood loss and post-operativehospital stays were lower,the operation time was longer,the cosmetic NSS score and clinical effective rate werehigher in the observation group than those in the control group,and all thedifferences were statistical (P<0.05).There were 2 of subcutaneoushydrops and 2 of nerve injury in the observation group,3 of nerve injury in the control group,and no statisticaldifference in complication rate between two groups (P>0.05).Conclusion?The single-site laparoscopic thyroidectomy by the axillary approach can improve the perioperative outcomes and the clinical curative effect,increase the cosmetic results,and itdeserve popularization.
Key words:  axillary approach    laparoscopy    thyroidectomy
                    发布日期:  2018-08-13      期的出版日期:  2018-08-13
ZTFLH:  R683.42  
通讯作者:  单远洲,男,53岁,上海奉贤区中心医院普外科主任医师。   
作者简介:  唐志强,男,40岁,上海奉贤区中心医院普外科主治医师。
引用本文:    
唐志强,单远洲. 经腋窝入路单孔腔镜甲状腺手术临床疗效分析[J]. 中国现代手术学杂志, 2018, 22(1): 18-21.
TANG Zhi-qiang. The Clinical Effect of Single-site Laparoscopic Thyroidectomy by the Axillary Approach. Chinese Journal of Modern Operative Surgery, 2018, 22(1): 18-21.
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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2018.01.005  或          http://www.surgerychina.com/CN/Y2018/V22/I1/18
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