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改良Miccoli术与经乳晕入路腔镜甲状腺手术对甲状腺微小乳头状癌的治疗效果分析 预览

Effect of modified Miccoli and transareolar endoscopic thyroidectomy in the treatment of papillary thyroid microcarcinoma
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摘要 目的观察改良Miccoli术与经乳晕入路腔镜甲状腺手术对甲状腺微小乳头状癌(PTMC)的治疗效果。方法回顾性分析2016年1月至2018年6月接受手术治疗的PTMC患者105例资料,根据术式不同分为观察组和对照组,观察组53例行改良Miccoli术式,对照组52例行完全腔镜甲状腺术式,采用SPSS 21.0统计软件对数据进行分析,术中术后各个指标、手术前后PTH、血钙水平、各评分(VAS评分、RSI评分、VHI评分)等以(x^-±s)表示,采用独立t检验;术后并发症发生率采用χ^2检验.以P<0.05为差异有统计学意义。结果观察组患者手术切口长度、手术时间、术中出血量、术后引流量、颈部恢复活动时间、拔管时间、住院天数均优于对照组(P<0.05);观察组术后3 d PTH、血钙水平高于对照组(P<0.05);术后12 h、24 h的VAS评分均小于对照组(P<0.05);术后3个月VHI评分、美容满意度评分优于对照组(P<0.05);两组术后并发症发生率差异无统计学意义。结论改良Miccoli术治疗PTMC效果明显,手术时间短、术中出血量少,术后并发症少,美容效果好,值得临床推广。 Objective To observe the therapeutic effect of modified Miccoli and transareolar endoscopic thyroidectomy in the treatment of papillary thyroid microcarcinoma(PTMC). Methods From January 2016 to June 2018, 105 patients with PTMC received surgical treatment were enrolled into present study. who were randomly divided into observation group(53 cases) and control group(52 cases). Patients in observation group received modified Miccoli routine operation, while patients in control group received totally laparoscopic thyroid surgery. Statistical analysis were performed by using SPSS 21.0 software. Measurement data, such as intraoperative all indexes, PTH before and after surgery, postoperative blood calcium levels, and each score(VAS score, RSI grade, VHI) were expressed as (x^-±s), and were examined by using independent t test. Count data such as incidence of postoperative complication rate were examined by chi square test. A P value <0.05 was considered as statistically significant difference.Results The incision length, operation time, intraoperative blood loss, postoperative drainage volumn, neck recovery time, average extubation time and hospital stay in the observation group were significantly better than those in control group respectively(P<0.05). 3 days after operation, the serum calcium level of PTH in the observation group was higher than that in the control group, with significant difference(P<0.05). The VAS score in the observation group was lower than that in control group at 12 h and 24 h postoperatively(P<0.05). The VHI score and the beauty satisfaction score in the observation group were better than those in the control group respectively(P<0.05). There was no significant difference between the two groups in terms of incidence of postoperative complications Conclusion The modified Miccoli is effective in the treatment of PTMC with shorter operation time, less intraoperative bleeding, less postoperative complications and better cosmetic effect. It is worth popularizing.
作者 刘军涛 李学刚 Liu Juntao;Li Xuegang(Department of General surgery,Hanchuan city people’s Hospital,Hubei 431600,China)
出处 《中华普外科手术学杂志(电子版)》 2019年第4期373-375,共3页 Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金 湖北省科技计划项目(20160010421).
关键词 甲状腺肿瘤 乳头状 腹腔镜检查 甲状腺切除术 喉返神经 Thyroid neoplasms Carcinoma,papillary Laparoscopy Thyroidectomy Recurrent laryngeal nerve
作者简介 通信作者:李学刚,Email:xjlei0086@163.com.
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  • 1单远洲,周联明,朱光辉,唐志强,王时光,蒋叶平,张学利.经乳晕单孔腔镜甲状腺手术30例临床应用体会[J].中华腔镜外科杂志(电子版),2013(1):32-34. 被引量:3
  • 2李晨,田文,臧宇,刘晓莉,姚京,陈凛.甲状腺癌术中规范化神经监测与解剖学基础相关性的临床意义[J].解剖学杂志,2015,0(6):722-722. 被引量:5
  • 3王耕,王明华,潘俊峰,赵宗斌.经乳晕途径腔镜甲状腺手术的临床应用[J].中国微创外科杂志,2005,5(9):738-739. 被引量:12
  • 4高力.Miccoli内镜术式与甲状腺手术操作的微创化[J].中华外科杂志,2006,44(1):10-13. 被引量:74
  • 5Dideban S, Abdollahi A, Meysamie A, et al. Thyroid papillary microcarcinoma: Etiology, clinical manifestations, diagnosis, fol- low-up, histopathology and prognosis [J ]. Iran J Pathol, 2016,11 (1):1-19. 被引量:1
  • 6National Comprehensive Cancer Network. NCCN clinical guide- lines for treatment of cancer: Thyroid carcinoma V.2.2015 [S/OL]. (2015-03-01)[2016-03-15]. http://www.nccn.org/pro- fessionals/physician_gls/pdf/thyroid.pdf. 被引量:1
  • 7Haugen BR, Alexander EK, Bible KC, et al. 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: The American Thyroid Association guidelines task force on thyroid nodules and differentiated thyroid cancer [J]. Thyroid, 2016,26 (1):1-133. 被引量:1
  • 8Perros P, Boelaert K, Colley S, et al. Guidelines for the manage- ment of thyroid cancer [J]. Clin Endoerinol (Oxt), 2014, 81 (suppl 1 ):1-122. 被引量:1
  • 9Dralle H, Musholt TJ, Sehabram J, et al. German Association of Endocrine Surgeons practice guideline for the surgical manage- ment of malignant thyroid tumors [J]. Langenbeeks Areh Surg, 2013,398(3) :347-375. 被引量:1
  • 10Pacini F, Castagna MG, Brilli L, et al. Thyroid eaneer: ESNO clinical practice guidelines for diagnosis, treatment and fol- low-up [J]. Ann Oneol,2012,23(suppl 7) :rill 10- vii 119. 被引量:1

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