【摘要】 目的：评价良性甲状腺肿瘤以经乳晕入路腔镜为引导行切除治疗的效果。方法：以2022年3月～2023年3月50例良性甲状腺肿瘤患者为研究对象，随机数字表法分组，对照组实施传统开放式术式，观察组的手术方式为选择乳晕作为手术操作的起始点，结合腔镜引导，对照两组手术情况、症状改善情况、切口瘢痕情况、术后并发症发生率及术后疾病复发情况。结果：置管、住院时间相比对照组，观察组更短，术中失血量、术后24h引流量较对照组少，术时较对照组长，P<0.05；症状改善及切口瘢痕情况分析，术前两组比较无统计学意义，P>0.05；术后均改善，且观察组优于对照组，P<0.05；并发症发生率分析，观察组低于对照组，P<0.05；疾病复发率分析，观察组低于对照组，P<0.05。结论：选择乳晕作为手术操作的起始点，结合腔镜引导将良性甲状腺肿瘤切除的手术方式，与传统开放式术式相比较，术时长，但术后失血量少，术后引流量少，康复快，术后并发症少，且不易复发，对症状的改善效果理想，且不易形成瘢痕。更多还原

【Abstract】 Objective: To evaluate the efficacy of endoscopic resection of benign thyroid tumors through areolar approach. Methods: 50 patients with benign thyroid tumors(March 2022 to March 2023) were grouped by random number table method. The control group received traditional laparotomy. The operation method of the observation group was based on areola as the starting point, combined with endoscopic guidance. The operation situation, symptom improvement, incision scar, postoperative complication rate and postoperative disease recurrence rate were compared between the two groups. Results: Compared with the reference control group, the catheterization time and hospitalization time in the observation group were shorter than those in the control group, the intraoperative blood loss and 24h postoperative drainage volume were less than those in the control group, and the operative time was longer than those in the control group, P<0.05. Preoperative symptom improvement and incision scar analysis, P>0.05; The results showed that the observation group was better than the control group(P<0.05). The complication rate of observation group was lower than that of control group, P<0.05; The recurrence rate of observation group was lower than that of control group(P<0.05). Conclusion: Compared with traditional open surgery, areola as the starting point of surgery combined with endoscopy-guided thyroid benign tumor resection has a longer operation time, but less postoperative blood loss, less postoperative drainage, faster recovery, less postoperative complications, less recurrence, ideal symptom improvement effect and less scar formation.更多还原