关键词: 甲状腺, 良性, 经乳晕入路腔镜切除术, 开放甲状腺切除术, 疼痛, 并发症

Abstract:

Objective To compare and analyze the clinical effects of endoscopic thyroidectomy via areola approach and open thyroidectomy in patients with benign thyroid diseases. Method A total of 82 patients with benign thyroid lesions admitted to our hospital from February 2020 to January 2022 were selected and divided into two groups according to the willingness of patients to operate, 42 patients were in the control group and 40 patients were in the test group. The patients in the control group were treated with open thyroidectomy, and the patients in the test group were treated with endoscopic resection through the areola approach. The perioperative indicators, pain degree, postoperative complications, and cosmetic effects of the two groups were statistically compared. Result The operation time, extubation time and hospitalization time in the test group were significantly shorter than those in the control group, and the intraoperative bleeding volume and postoperative drainage volume were significantly less than those in the control group (P ＜ 0.05). The pain scores of the test group at 6h, 1d and 2d after operation were significantly lower than those of the control group (P ＜ 0.05). The incidence of postoperative complications in the test group was significantly lower than that in the control group (P ＜ 0.05). The score of beauty satisfaction in the test group was significantly higher than that in the control group (P ＜ 0.05). Conclusion The advantages of endoscopic thyroidectomy via areola approach in patients with benign thyroid diseases are obvious, such as short operation time, quick recovery after operation, less pain and low complication rate, which is worthy of clinical application.

Key words: Thyroid, Benign, Endoscopic mastectomy via areola approach, Open thyroidectomy, Pain, Complication