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目的:对比经乳晕腔镜手术与开放手术治疗良性甲状腺肿瘤的临床疗效。方法:收集佛山市妇幼保健院2011年1月-2014年12月治疗的100例良性甲状腺肿瘤患者,随机分为观察组和对照组,分别实施腔镜甲状腺手术和传统开放手术进行治疗,对比两组患者的术中失血量、手术时间、住院时间、术后引流量、并发症发生率等。结果:观察组并发症发生率是2%,对照组并发症发生率是10%,组间比较差异具有统计学意义(P<0.05)。观察组手术时间与对照组比较,差异无统计学意义(P>0.05),观察组的术中失血量、术中引流量、住院时间均明显短于对照组(P<0.05)。结论:经乳晕腔镜手术在良性甲状腺肿瘤的临床疗效明显优于开放手术,同时能提高患者的美观度,缩短住院时间,有效保障患者生命安全。
Objective: To compare the clinical effects of the treatment of benign thyroid neoplasms by areolactomy and open surgery. Methods: A total of 100 patients with benign thyroid neoplasm who were treated in Foshan MCH hospital from January 2011 to December 2014 were randomly divided into observation group and control group, and were treated by laparoscopic thyroidectomy and conventional open surgery respectively. Comparing two Group patients with intraoperative blood loss, operation time, hospital stay, postoperative drainage, the incidence of complications. Results: The complication rate was 2% in the observation group and 10% in the control group. The difference between the two groups was statistically significant (P <0.05). The operation time in the observation group was not significantly different from that in the control group (P> 0.05). The intraoperative blood loss, intraoperative drainage and hospital stay in the observation group were significantly shorter than those in the control group (P <0.05). Conclusion: The clinical effect of phacoemulsification under benign thyroid neoplasms is better than open surgery. At the same time, it can improve the aesthetics of patients, shorten the hospital stay and effectively protect the life safety of patients.