【摘要】 目的:探讨程序化解除甲状腺固定技术在腔镜甲状腺机能亢进症(甲亢)手术的应用效果及安全性。方法:选取甲状腺功能亢进患者76例作为研究对象。所有患者均拟行外科手术治疗,采用随机数表法将其分为观察组与对照组,每组38例。其中对照组行常规开放性甲亢手术治疗,观察组在腔镜下行解除甲状腺固定技术治疗,比较两组患者各项临床指标及预后效果。结果:观察组患者术中出血量、手术用时、住院时间明显低于对照组,差异具有统计学意义(P<0.05);观察组患者术后低钙血症、喉返或喉上神经损伤等发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论:程序化解除甲状腺固定技术在腔镜甲亢手术疗效理想,并且神经损伤发生率较低,相对于传统开放性手术应用更为安全,医源性创伤更低,具有临床应用及推广价值。更多还原

【Abstract】 Objective To explore the application and safety of thyroid attachment programmed removal used endoscopic thyroidectomy for hyperthyroidism. Method 76 patients with hyperthyroidism were selected as the research object. All patients with surgical operation were proposed,by using stochastic indicator they were divided into the observation group and control group,38 cases in each group. The control group treated by conventional open surgical and the observation group treated by endoscopic thyroidectomy surgery. The clinical indicators and prognosis of patients in two groups were compatred. Results The bleeding,operation time,hospitalization time in observation group were significantly lower than the control group,the difference was statistically significant( P < 0. 05). Observation group of patients with postoperative hypocalcaemia and laryngeal recurrent or laryngeal nerve injury was significantly lower than the control group,the difference was statistically significant( P < 0. 05). Conclusion Thyroid attachment programmed removal in endoscopic thyroidectomy for hyperthyroidism curative effect is ideal,and a lower incidence of nerve injury,safer than traditional open surgery,lower iatrogenic trauma. It is worth to be widely applied clinically.更多还原