超声刀经胸乳入路腔镜下行甲状腺癌根治术的效果观察.pdf

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1、中国当代医药2015年5月第22卷第14期·肿瘤医学·超声刀经胸乳入路腔镜下行甲状腺癌根治术的效果观察江亮高小尚胡荣祥龚晓玉广东省高要市人民医院肝胆普通外科，广东高要526000【摘要】目的研究超声刀经胸乳入路腔镜下行甲状腺癌根治术的效果及对并发症的影响。方法回顾性分析本院2012年7月～2014年7月行手术治疗的104例甲状腺癌患者，采用传统开放手术的患者为对照组，采用超声刀经胸乳入路腔镜下行甲状腺癌根治术的患者为观察组，比较两组患者的术中出血量、手术时间、术后引流量及住院时间、术后疼痛及并发症发生情况。结果观察组的术中出血

2、量、术后引流量显著少于对照组，手术时间、住院时间均显著短于对照组(P<0．05)；观察组术后3d内的疼痛评分低于对照组(尸_0．05)，但术后总并发症发生率显著低于对照组(P

3、中图分类号】R736．1【文献标识码】A【文章编号】1674—4721(2015)05(b)一0065—03EfectobservationofthyroidcancerradicalmastectomyusingharmonicscalpelbypectoralbreastapprochunderthoracoscopyJIANGLiangGA0Xiao-shangHURong-xiangGONGXiao-yuDepartmentofGeneralHepatobiliarySurgery，GaoyaoPeopleSHospi

4、talofGuangdongProvince，Gaoyao526000，China【Abstract】0bjectiveTostudytheeffectofthyroidcancerradicalmastectomyusingharmonicscalpelbypectoralbreastapprochunderthoracoscopyandtheinfluenceofsurgeryoncomplication．Methods104patientswiththyroidcancertreatedbysurgeryfromJuly

5、2012toJuly2014wereretrospectivelyanalyzed，controlgroupwasgiventraditionalopensurgery，andobservationgroupwasgiventhyroidcancerradicalmastectomybypectoralbreastapprochundertho—racoscopy．Amountofbleedingduringoperation，operativetime，postoperativedrainagevolumeandhospit

6、alstay，postop—erativepainandcomplicationinpatientsbetweentwogroupswerecompared．ResultsAmountofbleedingduringoper-ation，postoperativedrainagevolumeinobservationgroupwasobviouslylessthanthatofcontrolgrouprespectively，oper-ativetimeandhospitalstaywasobviouslyshortertha

7、nthatofcontrolgrouprespectivelyfP

8、ndifficulty)afteroperationbetweentwogroups(尸0．05)，butthetotalincidencerateofpostoperativecomplicationinobservationgroupwassignificantlylow