经胸乳入路甲状腺良性肿瘤切除的疗效及预后分析

doi:10.3969/j.issn.1671-7171.2021.03.032

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (1172 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract 【Objective】 To investigate the therapeutic effect and prognosis of patients with benign thyroid tumor resection via transthoracic approach. 【Methods】A total of 90 patients with benign thyroid tumor treated in our hospital from November 2015 to December 2017 were retrospectively analyzed. They were divided into observation group and control group according to the treatment method, 45 cases in each group. The patients in the observation group were treated with transthoracic and mammary surgery, while the patients in the control group were treated with traditional open surgery. The operation related indexes, serum interleukin-6 (IL-6), tumor necrosis factor -α(TNF -α), visual analogue scale (VAS) and postoperative complications were compared between the two groups【Results】The intraoperative blood loss and postoperative drainage of the observation group were lower than those of the control group, with significant difference between the two groups ( P <0.05). The operation time and postoperative hospital stay of the observation group were shorter than those of the control group, while the hospitalization expenses and beauty score of the observation group were higher than those of the control group, and the differences between the two groups were statistically significant ( P <0.05). The expression of IL-6 and TNF -αin the two groups after operation were improved, while the improvement in the observation group was higher than that in the control group, and the difference was statistically significant ( P <0.05); the incidence of incision pain, hoarseness, subcutaneous effusion, postoperative bleeding and other complications in the observation group was lower than that in the control group, and the difference was statistically significant (8.89% vs 82.2%, χ² = 48.7855, P <0.05).【Conclusion】Transthoracic and mammary surgery for benign thyroid tumor can effectively improve the serum IL-6 and TNF -αlevels, shorten the hospital stay, and effectively reduce the incidence of postoperative complications, which is worthy of clinical application.

Key words： Thyroid Neoplasms/SU Treatment Outcome Prognosis

Received: 30 April 2019

PACS:

R736.1

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	RUAN Ying-jun
	ZHANG Wen-jun

Cite this article:

RUAN Ying-jun,ZHANG Wen-jun. Analysis of Curative Effect and Prognosis of Benign Thyroid Tumor Resection by Transthoracic and Mammary Approach[J]. JOURNAL OF CLINICAL RESEARCH, 2021, 38(3): 431-433.

URL:

http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2021.03.032 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2021/V38/I3/431

[1] 闫文杰. 甲状腺肿瘤普外科微创手术治疗的临床观察[J].湖南师范大学学报(医学版),2015,12(04):77-79.
[2] 李吉. 腔镜辅助下小切口甲状腺手术治疗甲状腺良性肿瘤的疗效及安全性[J].中国现代医生,2014,10(29):137-139,142.
[3] 田洪森,高祀岩.腔镜辅助颈部小切口手术与传统开放手术治疗甲状腺良性肿瘤的疗效比较[J].中国基层医药,2014,12(21):3220-3222.
[4] 陈国庆,顾懿帆,周鸣,等.峡部入路与上外侧入路改良Miccoli手术在甲状腺良性肿瘤中治疗效果对比[J].临床和实验医学杂志,2016,15(9):889-892.
[5] 向白云. 彩色多普勒超声在Graves病与结节性甲状腺肿中的诊断价值分析[J].湖南师范大学学报(医学版),2018,15(04):108-110.
[6] 邢浩,尹峰燕,张晓健,等.腔镜辅助颈部小切口手术与传统甲状腺手术治疗甲状腺良性肿瘤的疗效对比[J].临床医药文献电子杂志,2016,3(35):6974.
[7] 肖智. 颈前小切口入路及改良Miccoli腔镜辅助下甲状腺手术治疗甲状腺良性肿瘤的疗效[J].临床普外科电子杂志,2016,4(4):25-29.
[8] 陈允恩,姜宝顺,彭焱. 甲状腺癌患者术前、术后健康状况调查[J].中国健康心理学杂志,2016,24(03):355-358.
[9] 沈冬花. 甲状腺微小乳头状癌超声诊断的价值及意义[J].湖南师范大学学报(医学版),2016,13(01):100-103.
[10] 罗贞,商学征.伍锐敏治疗亚急性甲状腺炎的临床经验[J].世界中医药,2016,11(3):459-461.
[11] 尚忠明. 乳晕缘切口治疗乳腺良性肿瘤的近期临床疗效及对乳房美观的影响[J].四川医学,2015,36(5):653-655.
[12] 马驰,彭程,牛军,等.经胸乳腔镜甲状腺手术与传统开放手术治疗良性甲状腺肿瘤短期临床效果的Meta分析[J].中国现代普通外科进展,2016,19(6):446-450.
[13] 王钰娇,何为民.胰岛素样生长因子-1在甲状腺相关眼病患者血清中的变化及其在眼眶脂肪细胞中的表达[J].中华实验眼科杂志,2015,33(11):1033-1036.