匡山

【摘要】 目的：探讨经全乳晕入路腔镜甲状腺切除术治疗良性甲状腺病变患者的效果。方法：选取2018年11月-2020年7月本院收治的良性甲状腺病变患者82例，根据不同的手术方式分为两组，每组41例。对照组应用开放性甲状腺切除术治疗，研究组应用经全乳晕入路腔镜甲状腺切除术治疗。比较两组手术前后甲状腺激素与应激相关激素水平、疼痛程度和手术情况、临床疗效。结果：研究组术后FT4、TT4、TSH均低于对照组，FT3、TT3均高于对照组（P<0.05）。研究组术后ACTH、NE、Cor水平均低于对照组（P<0.05）。研究组疼痛程度、术中出血量均低于对照组，住院时间短于对照组，手术时间长于对照组（P<0.05）。研究组总有效率高于对照组（P<0.05）。结论：经全乳晕入路腔镜甲状腺切除术治疗良性甲状腺病变效果较为理想，临床应进一步推广应用。

【关键词】 经全乳晕入路腔镜甲状腺切除术 良性甲状腺病变 应激相关激素 开放性甲状腺切除术

Effect of Endoscopic Thyroidectomy Via Total Areola Approach in the Treatment of Benign Thyroid Lesions/KUANG Shan. //Medical Innovation of China， 2021， 18（33）： -168

[Abstract] Objective： To investigate the effect of endoscopic thyroidectomy via total areola approach in the treatment of benign thyroid lesions. Method： A total of 82 patients with benign thyroid disease admitted to our hospital from November 2018 to July 2020 were selected and divided into two groups according to different surgical methods， 41 cases in each group. The control group was treated with open thyroidectomy， and the study group was treated with endoscopic thyroidectomy via areola mastoidectomy. The levels of thyroid hormone and stress-related hormone before and after operation， pain degree， operation condition and clinical efficacy were compared between two groups. Result： The levels of FT4， TT4， TSH in the study group after operation were lower than those in the control group， the levels of FT3 and TT3 were higher than those in the control group （P<0.05）. The levels of ACTH， NE and Cor in the study group after operation were lower than those in the control group （P<0.05）. The pain degree and intraoperative bleeding volume of the study group were lower than those of the control group， hospitalzation time was shorter than that of the control group， and the operation time was longer than that of the control group （P<0.05）. The total effective rate of the study group was higher than that of the control group （P<0.05）. Conclusion： Endoscopic thyroidectomy via total areola approach is effective in the treatment of benign thyroid lesions， which should be further popularized in clinic.

[Key words] Endoscopic thyroidectomy via areola mastoidectomy Benign thyroid disease Stress-related hormone Open thyroidectomy

First-author’s address： Panjin Central Hospital， Panjin 124000， China

doi：10.3969/j.issn.1674-4985.2021.33.040

隨着生活水平的提高，甲状腺疾病患者不断增加。甲状腺疾病是一种常见的内科疾病，女性发病率较高[1]。甲状腺瘤属于较为典型的病种，复发率较高，预后效果较差，发病初期无明显症状，大多数患者会因此错过最佳治疗时间[2]。对于良性甲状腺肿瘤治疗方式大多数是手术治疗，传统的手术方式为开腹、腔镜[3]。与开腹比较，腔镜对外观的影响较小，切口较小，操作过程方便和简单，视野开阔，所以效果比较理想。选取2018年11月-2020年

7月本院收治的良性甲状腺病变患者进行分组研究，观察其对患者产生的影响，现报道如下。……