| Objective: By comparing the endoscopic thyroidectomy (ESTC) bythe breast approach with open thyroid surgery for treatment of benign thyroidtumor, in order to explore the endoscopic thyroidectomy (ESTC) by the breastapproach in the treatment of benign thyroid tumors on the feasibility, safetyand practicability, thus for the endoscopic thyroidectomy (ESTC) by thebreast approach in clinical application to provide certain theoretical support.Method: Through retrospectively analyzing statistical significance theclinical data of82patients after operation for treatment of thyroid benigntumor patients what are the postoperative satisfaction, intraoperative bloodloss, postoperative incision flow, operation time, hospitalization expenses andpostoperative recovery time, hospital stay, postoperative analgesicrequirements of clinical data, surgical complications,the endoscopicthyroidectomy have in this paper the feasibility, safety and practicability forthe thyroid surgery. Computer retrieval of Chinese biomedical literaturedatabase, China journal full-text database, and database of ten thousandinformation about thyroid surgery of cavity mirrors in the database, andthrough the Internet to find relevant literature on search engines like Google,and the further search in literature references and grey literature, and at thesame time tracking on the literature of system evaluation of thyroid surgery ofthe endoscopic thyroid. After determining the research purposes, researchmethods and research target,I adopt fully retrospective review medical recordsfrom January2010to January2013after surgical treatment of thyroid benigntumor patient, except in strict accordance with the formulated into and out ofthe standard to other factors, such as history of thyroid surgery, postoperativepathology of thyroid carcinoma, hyperthyroidism, hashimoto’s thyroiditis, there are other very serious impact on clinical data. After a contrastive studyof nine clinical data such as the endoscopic thyroidectomy and open thyroidsurgery patients’ the postoperative satisfaction, intraoperative blood loss,postoperative incision flow, operation time, hospitalization expenses andpostoperative recovery time, hospital stay, postoperative analgesicrequirements, complications, the last to arrangement the information includedin the literature.Take the endoscopic thyroidectomy as experimental group,open thyroid surgery as the control group, I take P <0.05as evaluationstandard of the endoscopic thyroidectomy and open thyroid surgery,which thedifference of the nine clinical dates have statistically significant. Measurementdata can be express by the mean+/-standard deviation (x±s), and which is inline with the normal and variance equal,can adopt mean to compare twosample t test; Count data can be expressed by frequency n, using the x2test,statistical processing adopts SPSSl3.0statistical software for analysis. Thetotality of the selected data conforms to normal and comparing mean andvariance are equal completely random design of the t test, variance does notconform to the normal or equal adoption of rank transformation ofnonparametric test.After the statistics of the postoperativesatisfaction,intraoperative blood loss, incision, operation time, hospitalizationexpenses, drain of postoperative recovery time, hospital stay, postoperativeanalgesic requirements, surgical complications of the nine clinical data, Ianalyze all the data, and determine the differences have statistical significance,thus draw the corresponding conclusion, finally, explain the conclusion thatthe endoscopic thyroidectomy has the clinical application value.Result: Through the selection standard of the clinical data,82patientswere included in the clinical research of this paper. The endoscopicthyroidectomy which is experimental group has42cases, the open thyroidsurgery which is control group has40cases. The patients in the two groupsare the benign tumor of thyroid and the results of B-scan are the benigntumors of thyroid and the tubercles are less than6cm in diameter, the patientshad no other viscera lesions, all the patients adopt general anesthesia, and all unused pain-relieving pumps in operation and after operation, in the clinicaldata of82cases of thyroid benign tumor after review and summary, theSPSSl3.0statistical software analysis results show that the endoscopicthyroidectomy (ESTC) by the breast approach open thyroid surgery(experimental group) and42cases of thyroid surgery open thyroid surgery in40patients (control group), two groups compare results for:The postoperative satisfaction score of the endoscopic thyroidectomy is(9.36+0.48), which is significantly higher than the open group (7.75+0.72)statistical results is P=0.00, P <0.05. The difference was statisticallysignificant;Bleeding amount of the endoscopic thyroidectomy [(49.64+10.50)ml] isobviously less than open group [(79.10+10.48) ml], the statistical results is P=0.00, P <0.05.The difference was statistically significant;But group had the flow of the endoscopic thyroidectomy [(96.59+59.62)ml]is more than open group [(52.87+20.94)ml], statistical results is P=0.00,P<0.00), the difference was statistically significant;The operating time of the endoscopic thyroidectomy[(151.79+44.98)min]is longer than open group[(86.13+9.57)min], the statistical results is P=0.00,P <0.05, the difference was statistically significant;The hospitalization fees of the endoscopic thyroidectomy [(16075.37+906.11) yuan] is significantly higher than open group [(12415.58+598.71)yuan], the results is P=0.00, P<0.00,the difference was statistically significant;The difference of postoperative recovery time between the endoscopicthyroidectomy [(5.82+0.84) days] and the open group [(5.96+0.79) days]was no statistically significant.The statistical results is P=0.43, P>0.05;The difference of hospitalization time between the endoscopicthyroidectomy [(8.31+1.30) days] and open group [(8.49+1.50) days] wasno statistically significant, statistical results is P=0.52, P>0.05;The postoperative analgesic of the group of endoscopic thyroidectomy is4 cases, the open group is3cases,(P=0.74, P>0.74), there was nostatistically significant difference;Through close observation and regular follow-up, there were no massivehemorrhage during endoscopic thyroid operation group and open thyroidoperation group and superior laryngeal nerve, injury of recurrent laryngealnerve and parathyroid injury serious postoperative complications.Conclusion:1Endoscopic thyroid operation postoperative c osmetic satisfaction is high2The amount of bleeding during endoscopic thyroid operation is less3Endoscopic thyroid operation postoperative drainage volume is much4Endoscopic thyroid operation operation time is long5Hospitalization expenses of endoscopic thyroid operation is high6There was no significant difference of The recovery time after operationbetween the open operation of endoscopic thyroid operation with thetraditional7There was no significant difference of the postoperative hospitalization timebetween the open operation of endoscopic thyroid operation with thetraditional8There was no significant difference of the analgesic requirement between theopen operation of endoscopic thyroid operation with the traditional9There was no significant difference of the incidence of postoperativecomplications between the occurrence probability of open operation and thetraditional endoscopic thyroid operation... |
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