| 夏非,华清泉.颈部微小切口腔镜治疗甲状腺腺瘤疗效评价及术后凝血障碍发生的影响因素分析.[J].中南医学科学杂志.,2017,(5):492-495. |
| 颈部微小切口腔镜治疗甲状腺腺瘤疗效评价及术后凝血障碍发生的影响因素分析 |
| Evaluation of curative effect of mini-incision endoscopic thyroidectomy in the treatment of thyroid adenoma and analysis of influencing factors of postoperative coagulation disorder |
| 投稿时间：2017-02-23 修订日期：2017-05-06 |
| DOI：10.15972/j.cnki.43-1509/r.2017.05.016 |
| 中文关键词: 颈部 微小切口腔镜手术 甲状腺腺瘤 凝血功能 |
| 英文关键词:cervix mini-incision endoscopic surgery thyroid adenoma coagulation function |
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| 中文摘要: |
| 目的 评价颈部微小切口腔镜治疗甲状腺腺瘤疗效及探讨术后凝血障碍发生的影响因素。方法选取本院就诊并接受颈部微小切口腔镜治疗治疗和传统甲状腺切除术治疗的患者共235例,其中110例为接受颈部微小切口腔镜治疗者(微创手术组)；125例接受传统甲状腺切除术患者(对照组)。比较和分析两组治疗效果及影响术后凝血障碍的因素。结果微创手术组患者手术时间、术中出血量、住院天数以及术后不良反应均显著低于对照组。两组患者术后血浆凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)均低于正常值,纤维蛋白原水平均较正常值有所增高,存在潜在血栓可能,但未见显著差别。结论颈部微小切口腔镜手术方式疗效确切,手术时间短、切口小、安全性高。 |
| 英文摘要: |
| Objective To evaluate the curative effect of cervical microendoroscopy in the treatment of thyroid adenoma and discuss the influencing factors of postoperative coagulopathy.Methods235 patients who underwent treatment with cervical microsurgical treatment (110 cases) and traditional thyroidectomy as controls (125 cases) were selected to compare the therapeutic effect and discuss the influencing factors of postoperative coagulation disorder.ResultsThe operation time,intraoperative blood loss,hospital stay and the incidence of postoperative adverse reactions were significantly lower in the patients with minimally invasive surgery than in the control group.The levels of prothrombin time and activated partial thromboplastin time were lower than normal in the two groups,and the level of fibrinogen was higher than those of normal thrombosis.However,there was no significant difference.ConclusionThe procedure of micro-incision of the neck is accurate,the operation time is short,the incision is small and the safety is high. |
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