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目的探讨经乳晕路径腔镜手术治疗老年甲状腺微小乳头状癌(PTMC)患者的临床疗效。方法选取2014年3月至2015年3月阜新矿业集团总医院收治的老年PTMC 58例为研究对象,按随机数字表法将其分为对照组和观察组,各29例。对照组患者采取传统手术,观察组患者实施经乳晕路径腔镜手术,比较两组患者的淋巴结清扫量、手术时间、术中出血量、引流管拔除时间及对手术切口的满意度。结果观察组患者淋巴结清扫量明显高于对照组,术中出血量明显低于对照组,手术时间明显长于对照组,引流管拔除时间明显短于对照组,差异均有统计学意义(均P<0.05);观察组患者对手术切口的满意度明显高于对照组,差异有统计学意义(χ2=5.497,P<0.05)。结论对老年PTMC患者实施经乳晕路径腔镜手术治疗,临床疗效明显,切口小,安全可靠,美容效果好。
Objective To explore the clinical efficacy of endoscopic surgery for the treatment of senile thyroid micropapillary carcinoma (PTMC). Methods A total of 58 elderly PTMC patients admitted to the General Hospital of Fuxin Mining Group from March 2014 to March 2015 were selected as the study subjects. They were divided into a control group and an observation group according to the random number table method, with 29 cases in each group. The patients in the control group underwent conventional surgery. The patients in the observation group underwent endoscopic pathology through the areola pathology. The lymph node dissection, operation time, intraoperative blood loss, drainage tube removal time, and surgical incision satisfaction were compared between the two groups of patients. Results The amount of lymph node dissection in the observation group was significantly higher than that in the control group. The intraoperative blood loss was significantly lower than that in the control group. The operation time was significantly longer than that in the control group. The drainage tube removal time was significantly shorter than that of the control group. The differences were statistically significant (P < 0.05); The satisfaction rate of surgical incision in the observation group was significantly higher than that of the control group, and the difference was statistically significant (χ2=5.497, P<0.05). Conclusions The elderly patients with PTMC who underwent laparoscopic surgery through the areola path have obvious clinical efficacy, small incisions, safe and reliable results, and good cosmetic results.