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中华普外科手术学杂志(电子版) ›› 2019, Vol. 13 ›› Issue (03) : 301 -303. doi: 10.3877/cma.j.issn.1674-3946.2019.03.027

所属专题: 文献

论著

经胸壁入路3D与2D腹腔镜根治术治疗甲状腺癌的近期疗效及生存质量比较
李文超1, 谢玲玲1,()   
  1. 1. 518110 深圳市龙华区人民政府医院
  • 收稿日期:2018-06-01 出版日期:2019-06-26
  • 通信作者: 谢玲玲

Short term efficacy and life quality of 3D and 2D laparoscopic radical resection for thyroid cancer via chest wall approach

Wenchao Li1, Lingling Xie1,()   

  1. 1. Shenzhen Longhua District People’s Government Hospital General Surgery Guangdong Shenzhen 518110
  • Received:2018-06-01 Published:2019-06-26
  • Corresponding author: Lingling Xie
  • About author:
    Corresponding author: Xie Lingling, Email:
引用本文:

李文超, 谢玲玲. 经胸壁入路3D与2D腹腔镜根治术治疗甲状腺癌的近期疗效及生存质量比较[J]. 中华普外科手术学杂志(电子版), 2019, 13(03): 301-303.

Wenchao Li, Lingling Xie. Short term efficacy and life quality of 3D and 2D laparoscopic radical resection for thyroid cancer via chest wall approach[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(03): 301-303.

目的

探讨经胸壁入路3D与2D腹腔镜根治术治疗甲状腺癌的近期疗效及生存质量。

方法

将收治的120例甲状腺癌患者随机分为3D腹腔镜组和2D腹腔镜组,各60例,分别给予相应的治疗方案,观察两组患者治疗的近期疗效及生存质量差异。采用SPSS23.0统计学软件,两组患者治疗有效率、并发症发生率采用卡方检验比较;TI-RADS评分、血清TSH、FT3、FT4及SF-36生活质量评分采用独立t检验,P<0.05则有统计学意义。

结果

3D组治疗有效率、生活质量显著高于2D组,治疗后并发症发生率、血清TSH、FT3、FT4均低于2D组(P<0.05)。

结论

经胸壁入路3D腹腔镜根治术治疗甲状腺癌具有更好的近期疗效,可有效改善患者生存质量。

Objective

To evaluate the short-term efficacy and life quality of 3D and 2D laparoscopic radical resection for thyroid cancer.

Methods

120 patients with thyroid cancer were randomly divided into 3D laparoscopy group and 2D laparoscope group, and 60 cases in each group according to the treatment plan. The differences of short-term curative effect and the quality of life were observed in the two groups. SPSS23.0 statistics software was used. The treatment efficiency and incidence of complications between the two groups were compared by chi square. TI-RADS score, serum TSH, FT3, FT4 and SF-36 quality score were compared by independent t test, and P<0.05 had statistical significance.

Results

The effective rate of treatment and the quality of life of SF-36 in group 3D were significantly higher than that in group 2D, and the incidence of complications after treatment was significantly lower than that in group 2D. The serum TSH, FT3 and FT4 were lower than those in the 2D group, and all the differences were statistically significant (P<0.05).

Conclusion

3D laparoscopic radical resection through chest wall approach has a better short-term effect in the treatment of thyroid cancer, and can effectively improve the quality of life of patients.

表1 120例甲状腺癌患者不同术式两组患者一般临床资料比较(±s,例)
表2 120例甲状腺癌患者不同术式两组患者治疗效果比较(例)
表3 120例甲状腺癌患者不同术式两组患者治疗后并发症比较(例)
表4 120例甲状腺癌患者不同术式两组患者治疗前后血清甲状腺素水平变化比较(±s)
表5 120例甲状腺癌患者不同术式两组患者治疗后SF-36生活质量评分比较
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