分析小切口甲状腺切除术治疗甲状腺结节的效果(1)
【摘要】 目的 观察小切口甲状腺切除术在甲状腺结节疾病治疗中的临床运用效果。方法 74例甲状腺结节患者， 按随机双盲法分成传统组与试验组， 各37例。传统组采取传统甲状腺手术， 试验组予以小切口甲状腺切除术。比较两组患者的手术时间、切口长度、术中出血量、首次下床时间、住院时间以及并发症发生情况。结果 试验组患者的手术时间(88.7±6.9)min、首次下床时间(1.0±0.2)d、住院时间(4.1±0.6)d均短于传统组的(114.6±8.2)min、(2.6±0.6)d、(6.5±1.2)d， 切口长度(4.6±0.6)cm小于传统组的(8.8±0.9)cm， 术中出血量(18.9±7.8)ml少于传统组的(38.9±11.0)ml， 差异均具有统计学意义 (P<0.05)。试验组并发症发生率5.4%低于传统组的21.6%， 差异具有统计学意义(χ2=4.163， P<0.05)。结论 对甲状腺结节患者采取小切口甲状腺切除术治疗， 疗效显著， 且并发症少， 值得在临床上广泛推行。
【关键词】 甲状腺结节;小切口甲状腺切除术;并发症
DOI：10.14163/j.cnki.11-5547/r.2020.27.016
Analysis of the effect of mini-incision thyroidectomy on thyroid nodule ZHONG Hao. Taierzhuang District People’s Hospital， Zaozhuang 277400， China
【Abstract】 Objective To observe the clinical effect of mini-incision thyroidectomy on thyroid nodule. Methods A total of 74 thyroid nodule patients were divided into traditional group and experimental group by double-blind method， with 37 cases in each group. The traditional group was treated by traditional thyroidectomy， and experimental group was treated by mini-incision thyroidectomy. The surgery time， incision length， amount of intraoperative hemorrhage， fist-time off-bed time， hospitalization time and occurrence of complications were compared between the two groups. Results The surgery time (88.7±6.9) min， fist-time off-bed time (1.0±0.2) d
and hospitalization time (4.1±0.6) d of the experimental group were shorter than those of traditional group (114.6±8.2) min， (2.6±0.6) d， (6.5±1.2) d， incision length (4.6±0.6) cm was less than that of traditional group (8.8±0.9) cm， and amount of intraoperative hemorrhage (18.9±7.8) ml was less than that of traditional group (38.9±11.0) ml. The difference was statistically significant (P<0.05). The incidence of complications 5.4% of the experimental group was lower than that of traditional group 21.6%， and the difference was statistically significant (χ2=4.163， P<0.05). Conclusion Mini-incision thyroidectomy shows remarkable efficacy for thyroid nodule patients with less complications， which is worthy of clinical promotion.
【Key words】 Thyroid nodule; Mini-incision thyroidectomy; Complications
甲狀腺结节是一种临床上发病率比较高的外科疾病， 且女性发病率高于男性。现今， 临床上对于此病的治疗， 通常是采取手术的方式， 比如传统甲状腺手术， 但该种术中存在不足之处， 如切口较大、出血量多、并发症发生率高等[1]。近些年， 随着医疗技术的发展， 小切口切除术在临床上得到了普遍运用， 且获得了较为理想的疗效。现本案将对本院所接诊的37例甲状腺结节患者予以小切口甲状腺切除术， 以探究该种术式在疾病治疗中的实际价值。具体如下。
1 资料与方法
1. 1 一般资料 试验对象选取本院2019年3月～, http://www.100md.com(钟浩)
【关键词】 甲状腺结节;小切口甲状腺切除术;并发症
DOI：10.14163/j.cnki.11-5547/r.2020.27.016
Analysis of the effect of mini-incision thyroidectomy on thyroid nodule ZHONG Hao. Taierzhuang District People’s Hospital， Zaozhuang 277400， China
【Abstract】 Objective To observe the clinical effect of mini-incision thyroidectomy on thyroid nodule. Methods A total of 74 thyroid nodule patients were divided into traditional group and experimental group by double-blind method， with 37 cases in each group. The traditional group was treated by traditional thyroidectomy， and experimental group was treated by mini-incision thyroidectomy. The surgery time， incision length， amount of intraoperative hemorrhage， fist-time off-bed time， hospitalization time and occurrence of complications were compared between the two groups. Results The surgery time (88.7±6.9) min， fist-time off-bed time (1.0±0.2) d
and hospitalization time (4.1±0.6) d of the experimental group were shorter than those of traditional group (114.6±8.2) min， (2.6±0.6) d， (6.5±1.2) d， incision length (4.6±0.6) cm was less than that of traditional group (8.8±0.9) cm， and amount of intraoperative hemorrhage (18.9±7.8) ml was less than that of traditional group (38.9±11.0) ml. The difference was statistically significant (P<0.05). The incidence of complications 5.4% of the experimental group was lower than that of traditional group 21.6%， and the difference was statistically significant (χ2=4.163， P<0.05). Conclusion Mini-incision thyroidectomy shows remarkable efficacy for thyroid nodule patients with less complications， which is worthy of clinical promotion.
【Key words】 Thyroid nodule; Mini-incision thyroidectomy; Complications
甲狀腺结节是一种临床上发病率比较高的外科疾病， 且女性发病率高于男性。现今， 临床上对于此病的治疗， 通常是采取手术的方式， 比如传统甲状腺手术， 但该种术中存在不足之处， 如切口较大、出血量多、并发症发生率高等[1]。近些年， 随着医疗技术的发展， 小切口切除术在临床上得到了普遍运用， 且获得了较为理想的疗效。现本案将对本院所接诊的37例甲状腺结节患者予以小切口甲状腺切除术， 以探究该种术式在疾病治疗中的实际价值。具体如下。
1 资料与方法
1. 1 一般资料 试验对象选取本院2019年3月～, http://www.100md.com(钟浩)