To investigate the clinical efficacy and prognosis of radical thyroidectomy via oral endoscopic surgery.

A retrospective analysis of 150 patients with thyroid cancer from January 2016 to December 2017 was divided into the traditional group with open surgery and the oral group with radical endoscopic radical thyroidectomy, 75 cases each. The data were processed by SPSS 22.0 statistical software. All indexes, postoperative pain scores and quality of life scores were expressed by (±s), and compared with independent t test, and complication rate was detected by χ² test, P<0.05 meant the difference was statistically significant.

The operation time, hospitalization time, intraoperative blood loss, postoperative drainage volume, postoperative pain score, and postoperative complication rate were lower in the oral group than in the traditional group (P<0.05). The number of lymph node dissection was more than that in the traditional group (P<0.05). There was no significant difference in the quality of life scores between the two groups (P>0.05). The postoperative 6 months and 12 months after surgery were significantly higher than those at the time of discharge the traditional group (P<0.05); the follow-up period of 1 year, the oral recurrence rate, cervical lymph node metastasis rate, distant metastasis rate were lower than the control group, the difference was statistically significant (P<0.05).

Oral endoscopic radical thyroidectomy for thyroid cancer has a better clinical outcome, and the prognosis is more ideal. It can be used as the preferred treatment.