Phlegm And Blood Stasis Type Of Thyroid Tumor Clinical Comparative Study On Surgical Methods

ObjectiveThyroid nodule is a very common disease, more particularly in middle-aged women. Surgical resection is the treatment measures, with traditional surgical trauma, surgical scars obvious cosmetic effects such as shortcomings. This study by comparing endoscopic thyroid surgery and open surgery and clinical effects of endoscopic surgery and its clinical effects of different approaches, so discussion on security and micro-invasive endoscopic thyroid surgery and endoscopic surgery in the pros and cons of different approaches.MethodCollection research February2007-2012years February Guangdong Province hospital fangcun surgical, and first surgical of Institute branch admitted meet phlegm stasis mutual knot type of thyroid swollen real resection operation of patients294cases, which male48cases, women246cases, under patients wishes and the cavity mirror surgery indications is divided into general surgery group, and cavity mirror Xia chest milk into road surgery group and milk Halo into road surgery group, comparison analysis three group surgery patients of gender, and age, and mass diameter, and surgery time, and surgery bleeding volume, and operation Hou introduction flow, and pulling tube time, and hospital costs, and Evaluation of postoperative hospital stay, pain, cosmetic effects such as satisfaction, complications and postoperative recovery.ResultsCavity mirror chest milk into road group surgery bleeding volume for (12.6±7.2) ml and milk Halo into road group bleeding volume for (11.9±8.0) ml are more general Group (32.7±10.4) ml clear reduced; Group operation time thoracic surgery breast approach (90.27±21.35) minutes with breast areola Group (92.46±22.1) minutes, significantly longer than the open Group (40.8±15.1) minutes; hospital time chest milk into road group (4.4±1.1) d and milk Halo into road group (4.3±1.3) d more general Group (6.5±1.8) d shortened; operation Hou hospital costs chest milk into road group (10394.3±1136.5) Yuan, milk Halo into road group (10983.2±1069.1) than the General Group (8898.1±cent) higher group is satisfied with the breast approach to98cases, satisfaction is93.33%; areolar group for87cases of satisfaction, satisfaction is97.75%; General Group for32cases of satisfaction, satisfaction is32%.ConclusionsEndoscopic thyroid operation (including breast and areola into road road) less bleeding during surgery, hospital stay short, rapid postoperative recovery, good cosmetic effect, is a safe, effective and feasible method of operation. Endoscopic thyroid surgery compared to open surgery, the long operation time, hospital costs, relatively high risk of complications. In addition, endoscopic thyroid surgery indications less than the General Group, endoscopic surgery has certain limitations. Breast and areola and breast approach in contrast find operation time, bleeds, and operation costs, length of stay, traffic diversion, postoperative pain, and so little difference. Beauty and satisfaction, due to the small number of patients with breast milk group cleavage scar more obvious, more notable of scar Constitution while cosmetic results, compared to next, areola group more satisfaction, more clinical extension.