充气与免充气经腋窝入路腔镜甲状腺癌根治术治疗单侧甲状腺乳头状癌临床疗效的对比分析

摘要 目的：比较充气与免充气经腋窝入路腔镜甲状腺癌根治术治疗单侧甲状腺乳头状癌的疗效。方法：回顾性分析2019年1月至2021年7月于南宁市第二人民医院住院手术治疗的126例单侧甲状腺乳头状癌患者的临床资料，根据手术方式的不同将其分为对照组60例和观察组66例，对照组行充气经腋窝入路腔镜甲状腺癌根治术，观察组行免充气经腋窝入路腔镜甲状腺癌根治术，对比分析两组患者围手术期指标、术后视觉模拟量表（VAS）评分及术后3个月并发症发生率。结果：两组围手术期指标、术后VAS评分及术后3个月并发症发生率均无显著性差异（P＞0.05）；与对照组相比，观察组患者手术时间显著缩短（P＜0.05）。结论：单侧甲状腺乳头状癌经充气与免充气经腋窝入路腔镜甲状腺癌根治术治疗，均安全可靠，免充气术式略显优势。

Comparison and Analysis of Clinical Efficacy of Aerated and Non-Aerated Transaxillary Approach Endoscopic Radical Thyroidectomy for Unilateral Papillary Thyroid Carcinoma

ABSTRACT Objective: To compare the curative effect of aerated and non-aerated transaxillary approach endoscopic radical thyroidectomy for unilateral papillary thyroid carcinoma. Methods: A retrospective analysis of the clinical data of 126 patients with unilateral papillary thyroid carcinoma who were treated by surgical treatment in Nanning Second People''s Hospital from January 2019 to July 2021. According to the different surgical methods, they were divided into a control group of 60 cases and an observation group of 66 cases, and the control group underwent aerated transaxillary approach endoscopic radical thyroidectomy. The observation group non-aerated transaxillary approach endoscopic radical thyroidectomy. The perioperative indicators, postoperative visual analog scale (VAS) scores and incidence of complications at 3 months after operation of the two groups were compared and analyzed. Results: There were no significant differences in perioperative indicators, postoperative VAS scores, and the incidence of complications at 3 months after the operation between the two groups (P>0.05). Compared with the control group, the observation group had significantly lower operation time (P<0.05). Conclusion: The aerated and non-aerated transaxillary approach endoscopic radical thyroidectomy in the treatment of unilateral papillary thyroid carcinoma is safe and reliable, and the non-aerated method has a slight advantage.