关键词: 腔镜辅助颈部小切口甲状腺手术, 甲状腺良性肿瘤, 传统开放式甲状腺手术, 疗效

Abstract:

Objective To compare the difference between endoscopic-assisted small incision thyroidectomy and traditional open thyroidectomy in the treatment of benign thyroid tumors, and to observe the safety of the operation. Method 70 patients with benign thyroid tumors treated in Kunshan Zongrenqing Memorial Hospital from September 2019 to September 2020 were divided into two groups by different surgical method, 35 cases in each group. Among them, those who received traditional open thyroidectomy were the control group, and those who received endoscopic-assisted small neck incision thyroidectomy were the study group, the operation indexes, treatment time, scar satisfaction, complications, pain degree and recurrence rate were compared under different schemes. Result The operation time in the study group was longer than that in the reference group, but the amount of intraoperative bleeding and postoperative drainage were lower than those in the reference group (P ＜ 0.05).

The time of recovery and discharge in the study group was shorter than that in the reference group, and the patients' 

satisfaction with scar was higher than that in the reference group (P ＜ 0.05), and the incidence of complications was lower than that in the reference group (P ＜ 0.05). There was no significant difference in the degree of pain between the two groups before treatment (P ＞ 0.05), and there was no significant change in the degree of pain in the reference group after treatment (P ＞ 0.05), while the degree of pain in the study group was lower than that before treatment and in the reference group (P ＜ 0.05). There was no significant difference in recurrence rate between the two groups within 1 year (P ＞ 0.05). Conclusion Endoscopic-assisted neck small incision thyroid surgery is better than traditional open thyroid surgery in the treatment of benign thyroid tumors. Although the operation time has increased, it can reduce the amount of bleeding and drainage, reduce the pain of patients, reduce the incidence of complications, and patients are more likely to accept the remaining scars.

Key words: Endoscopic-assisted small incision thyroidectomy, Benign thyroid tumor, Traditional open thyroidectomy, Curative effect