目的探究对比全腔镜手术与传统手术治疗早期分化型甲状腺癌的疗效。方法 62例早期分化型甲状腺癌患者,采用随机数字法分为对照组和观察组,各31例。对照组进行传统手术治疗,观察组进行全腔镜手术治疗。对比两组手术时间、术中出血量、术后引流量、术后24 h疼痛评分、住院时间。结果观察组的手术时间长于对照组,术中出血量及术后引流量少于对照组,术后24 h疼痛评分低于对照组,术后住院时间短于对照组,差异均具有统计学意义(t=2.263、7.525、6.859、10.049、8.721,P<0.05)。结论在早期分化型甲状腺癌的手术治疗中,全腔镜手术优于传统手术,其疗效显著,手术创口小,术后康复快,预后效果良好,值得在临床实践中推广并使用。 Objective To investigate the curative effect of total endoscopic surgery versus traditional surgery for early-stage differentiated thyroid cancer. Methods 62 cases of early differentiated thyroid cancer patients were randomly divided into control group and observation group, 31 cases in each. The control group was treated by traditional surgery and the observation group was treated by total endoscopic surgery. The operation time, intraoperative blood loss, postoperative drainage, postoperative pain score and hospital stay were compared between the two groups. Results The operation time of the observation group was longer than that of the control group. The amount of bleeding and postoperative drainage were less in the observation group than those in the control group. The pain scores at 24 hours after operation were lower than those in the control group. The postoperative hospital stay was shorter than that in the control group. The differences were statistically significant (t = 2.263, 7.525, 6.859, 10.049, 8.721, P <0.05). Conclusion In the surgical treatment of early differentiated thyroid cancer, total endoscopic surgery is superior to traditional surgery. The curative effect is obvious. The operation is small, the postoperative recovery is fast and the prognosis is good. It is worth to be popularized and used in clinical practice.