甲状腺切口瘢痕最小化综合技术的应用(1)
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[摘要]目的：研究在甲状腺开放手术中，采用切口瘢痕最小化综合技术的临床效果。方法：98例行甲状腺切除手术患者采用新方法(切口瘢痕最小化综合技术)，96例患者采用常规方法，比较两组术后早期(1周)、晚期(3月和12月)瘢痕评分，以及患者本人对切口瘢痕的满意度。结果：新方法组和常规方法组的早期瘢痕评分分别为4.91±0.66和4.08±0.90(P<0.05)；术后3月切口评分各为8.71±0.66和6.08±0.90(P<0.05)，术后12月切口评分各为9.32±0.66和7.24±0.90(P<0.05)；新方法组和常规方法组对切口瘢痕表示满意的分别有62例和48例(P<0.05)。结论：在甲状腺开放手术中，采用切口瘢痕最小化综合技术能有效减轻术后瘢痕，提高患者的满意度。
[关键词]甲状腺；切口；瘢痕
[中图分类号]R622 [文献标识码]A [文章编号]1008-6455(2012)01-0016-03
Application of integrated techniques for minimized scars in open thyroidectomy
TAN Yi-hong1,XIAO Yu-gen1,YAN Guo-biao1,WANG Kun1,TAN Dong-xing1,DU Guo-neng1,LI Xi2,QIU Wan-shou2
(1.The Department of Thyroid and Breast Surgery,Nanhai Hospital affiliated to Nangfang Medical University,Foshan 528200,Guangdong,China;2.The Department of Thyroid and Breast Surgery，Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,Guangdong,China)
Abstract: Objective To study the clinical results of using integrated technology to minimize scars in open thyroid surgery. Methods Patients were randomly assigned to new methods group(98 cases) and conventional group(96 cases).Early (1 week) and late (3rd and 12th month) scars scores postoperatively were compared and the patient's satisfaction were record in 12th month. Results The early scars scores of incision in new methods group and conventional group were 4.91±0.66 vs 4.08±0.90,respectively (P<0.05). the late scars scores in 3rd month and 12th month were and 8.71±0.66 vs 6.08 ± 0.90 and 9.32±0.66 vs 7.24 ± 0.90,respectively (P<0.05).the patients expressed satisfaction with the incision scars were 62 vs 48 in new methods group and conventional group at 12th month(P<0.05). Conclusions In the open thyroid surgery, integrated techniques for minimized scars can effectively reducing the incision scars and improving patients satisfaction.
Key words:thyroid;incision;scar
甲状腺外科疾病多需要手术治疗，而患者多数为年轻女性，术后切口的瘢痕会破坏患者颈部的美观[1]，很大程度上影响了患者的社交活动及自信心理。我们在甲状腺手术治疗过程中，采取“切口瘢痕最小化综合技术”，使得手术对颈部美观的损害降到最小，现报道如下。
1 资料和方法
1.1 临床资料：2009年11月1日～2010年6月1日，纳入我科进行开放甲状腺手术的患者226例进行研究。入选标准：①年龄18～60岁；②无颈部外伤及手术史。排除标准：①术中快速病理证实为恶性，需行颈部淋巴结清扫术；②术后出血再次手术者；③随访过程中失访者。两组患者随机分为新方法组(切口瘢痕最小化综合技术组)和常规组，每组各113例，分别由两组资历相同的医师完成治疗过程 ......
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