简介：摘要目的分析甲状腺癌实施不同手术方案治疗的临床效果.方法抽选我院收治的甲状腺癌患者６４例,按照不同手术方法分为两个组别,其中对照组(开放手术)、试验组(内镜手术)各３２例.观察临床疗效,比较手术指标和术后并发症.结果试验组患者手术时间长、术中出血量低、术后引流量高;患者并发症发生２例(６．２％),低于对照组９例(２８．１％),且手术满意率(９０．６％)高于对照组(６８．８％).P＜０．０５,差异有统计学意义.结论对于甲状腺癌患者而言,开放手术和内镜手术均有良好疗效.其中前者手术时间短,后者手术质量高、并发症少,值得优先选用.关键词甲状腺癌;开放手术;内镜手术;并发症AbstractobjectiveToanalyzethetreatmentofthyroidcancerimplementationofdifferentoperationschemes．Methodsselectedourhospital６４casesofpaＧtientswiththyroidcancer,accordingtothedifferentoperationmethodsaredividedintotwogroups,includingthecontrolgroup(opensurgery),theexperimentalgroup(endoscopicsurgery)３２caseseach．Toobservetheclinicalcurativeeffect,compareoperationindexandpostoperativecomplications．Resultsthetreatmentgrouppatientswithlowlongoperationtime,intraoperativebloodloss,postoperativeleadhighflow;Patientswithcomplicationsoccurredin２cases(６．２％),lowerthancontrolgroupin９cases(２８．１％),satisfactionandsurgery(９０．６％)thanthecontrolgroup(６８．８％)．P＜０．０５,thedifferencewasstatisticallysignificant．ConＧclusionforpatientswiththyroidcancer,opensurgeryandendoscopicsurgeryhasgoodcurativeeffect．Operatingtimeisshort,theformerthelatteroperationqualityKaeyndwfoerwdsercomplications,worthfavoring．thyroidcancer;Opensurgery;Endoscopicsurgery．complications中图分类号R４５１文献标识码A文章编号１００８－６３１５(２０１５)１２－００３９－０１