低温等离子射频消融术治疗甲状腺腺瘤的疗效观察

Curative effect of coblation thyroidectomyon thyroid adenoma

摘要:

目的 比较低温等离子甲状腺切除术（coblation thyroidectomy, CT）与传统开放性甲状腺切除术（conventional open thyroidectomy, COT）治疗甲状腺腺瘤的疗效，探讨低温等离子甲状腺切除术的可行性和实用性。方法 将2008年7月~2009年12月收治的72例甲状腺腺瘤患者随机分为两组，一组行低温等离子甲状腺切除术，另一组行传统开放性甲状腺切除术。对两组的术中出血量、术后疼痛和近期疗效进行比较。结果 全部病例均顺利完成预期手术。CT组术中出血量明显少于COT组（P<0.05），术后第1天COT组的疼痛程度高于CT组（P<0.05）；术后3个月COT组的吞咽不适感高于CT组（P<0.05），CT组患者对切口美容的满意度高于COT组（P<0.05）。结论 低温等离子甲状腺切除术安全可行，与传统开放性甲状腺切除术相比较，其微创效果较为理想。 

Abstract:

Objective To compare the currative effect in clinical outcome between the coblation thyroidectomy (CT) and conventional open thyroidectomy (COT) in treatment of thyroid adenoma, and to explore the feasibility and efficacy of CT. Methods From July 2008 to December 2009, 72 patients with thyroid adenoma were randomly divided into two groups. CT was performed in one group and COT in the other group. The intraoperative blood loss, postoperative pain and shortterm outcome were compared between the two groups. Results All planning operations were successfully performed. No recurrences have been observed till now. The intraoperative blood loss in CT group was apparently less than that in COT group (P<0.05). The pain in the first postoperative day in COT group was more serious than that in CT group (P<0.05). The rate of swallowing discomfort happened in COT group was more than that in CT group (P<0.05). And the patients in CT group were more satisfied with the cosmetic outcome than those in COT group (P<0.05). Conclusion In dealing with thyroid adenoma, CT is feasible and safe with ideal minimally invasive outcome.