【摘要】：目的1、建立便于甲狀腺外科臨床研究的數(shù)據(jù)庫系統(tǒng),利用該系統(tǒng)對(duì)臨床資料進(jìn)行保存和查詢、分析和總結(jié)、交流和共享。2、收集接受經(jīng)口腔前庭入路腔鏡甲狀腺切除術(shù)患者的臨床資料,探討該術(shù)式的臨床應(yīng)用價(jià)值。方法1、收集2011年1月至2014年12月期間在暨南大學(xué)附屬第一醫(yī)院普外科住院的2164例甲狀腺疾病患者的臨床資料,將所獲資料錄入到計(jì)算機(jī)管理的數(shù)據(jù)庫系統(tǒng)中,按年齡、性別、接受手術(shù)方式、疾病種類的不同進(jìn)行分組,采用SPSS13.0軟件進(jìn)行統(tǒng)計(jì)學(xué)分析。2、從上述資料庫中查詢并提取所有在我院接受過經(jīng)口腔前庭入路腔鏡甲狀腺切除術(shù)患者的臨床資料,在安全性、可行性及美容效果方面對(duì)該術(shù)式進(jìn)行分析,探討其臨床價(jià)值。結(jié)果1、2011~2014年間,甲狀腺疾病外科住院患者人數(shù)呈逐年遞增趨勢(shì),4年間收治2164人次,男女比例為1:3.87,共實(shí)施甲狀腺手術(shù)1903臺(tái)。發(fā)病年齡集中在30~60歲。結(jié)節(jié)性甲狀腺腫患病人數(shù)最多,占總?cè)舜蔚?9.6%,各種甲狀腺疾病的構(gòu)成比逐年有波動(dòng),甲亢呈遞減趨勢(shì),甲狀腺癌及其后期治療者呈遞增趨勢(shì)。2、共57例患者接受經(jīng)口腔前庭入路腔鏡甲狀腺切除術(shù)的治療,所有患者均成功完成手術(shù),無中轉(zhuǎn)開放,手術(shù)時(shí)間為107.3分鐘(60~205分鐘),術(shù)中出血量約18毫升(5~30毫升),術(shù)后平均住院時(shí)間5.2天(3~11天)。術(shù)后發(fā)熱4例,口腔感染2例,頦下皮膚小塊瘀斑3例,下頜皮膚裂傷1例,手足麻木4例。無皮下積液感染,無喉上神經(jīng)、喉返神經(jīng)及甲狀旁腺的永久性損傷。所有患者對(duì)美容效果十分滿意。結(jié)論1、建立的甲狀腺疾病外科住院患者臨床數(shù)據(jù)庫能為甲狀腺外科領(lǐng)域的臨床和基礎(chǔ)研究提供充足的病歷資料參考支持。2、經(jīng)口腔前庭入路腔鏡甲狀腺切除術(shù)安全可行,美容效果好,有臨床應(yīng)用前景。
[Abstract]:Objective 1. To establish a database system for the clinical study of thyroid surgery, and to use the system to save, query, analyze and summarize the clinical data. The clinical data of patients undergoing endoscopic thyroidectomy via oral vestibular approach were collected and the clinical value of the procedure was discussed. Methods 1. The clinical data of 2164 patients with thyroid diseases in general surgery department of the first affiliated Hospital of Jinan University from January 2011 to December 2014 were collected and recorded into the computerized database system according to age and sex. Results (1) from 2011 to 2014, the number of patients hospitalized in surgery of thyroid diseases was increasing year by year, 2164 patients were admitted in four years, the ratio of male to female was 1: 3.87. A total of 1903 thyroid surgeries were performed. The age of onset was 30 to 60 years old. The number of patients with nodular goiter was the most, accounting for 69.6 of the total. The constituent ratio of various thyroid diseases fluctuated year by year, and the rate of hyperthyroidism decreased. There was an increasing trend of thyroid cancer and its late treatment. 2. A total of 57 patients underwent endoscopic thyroidectomy via oral vestibular approach. The operative time was 107.3 minutes (60 ~ 205min), the blood loss during operation was about 18 ml (5 ~ 30 ml), and the average postoperative hospitalization time was 5.2 days (3 ~ 11 days). There were 4 cases of fever, 2 cases of oral infection, 3 cases of submental skin ecchymosis, 1 case of mandibular skin laceration, 4 cases of numbness of hand and foot. No subcutaneous effusion infection, no permanent damage to the superior laryngeal nerve, recurrent laryngeal nerve and parathyroid gland. All patients were satisfied with the beauty effect. Conclusion 1. The clinical data base of thyroid disease surgery inpatients can provide sufficient reference for the clinical and basic research of thyroid surgery. 2. Endoscopic thyroidectomy via oral vestibule approach is safe and feasible. Good cosmetic effect, clinical application prospects.
【學(xué)位授予單位】：暨南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R653

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本文編號(hào)：2274902