甲状腺改良Miccoli手术的临床应用研究
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[摘要] 目的：分析甲状腺改良Miccoli手术的临床应用情况。方法：选择2005年1月～2010年6月在本院因甲状腺良性疾病而手术治疗患者，病例总数236例，男31例，女205例，术式均为甲状腺腺叶全切或次全切除术。根据采用的手术技术的不同分为3组，治疗组：改良Miccoli手术组；对照组1：传统手术组；对照组2：胸骨前、乳晕径路完全腔镜手术组。比较治疗组、对照组在切口大小、手术时间、术中出血量、并发症、住院时间、住院费用、美容效果、患者满意程度等方面的差异。结果：改良Miccoli手术不增加手术时间、并发症和住院费用，切口小、出血少、美容效果好、患者满意度高。结论：改良Miccoli手术在治疗甲状腺良性疾病上有着较好的疗效，也有很高的术后美容效果，值得推广。
[关键词] 甲状腺改良Miccoli手术；临床应用；对比；研究
[中图分类号] R581 [文献标识码]A[文章编号]1674-4721(2011)07(c)-061-03
Thyroid surgery improved the clinical application of Miccoli
LI Baifeng, WANG Jin, YE Liang, ZHANG Shengzu, TAN Xiangyun
A Hospital of Zhuzhou City, Hunan Province, Zhuzhou 412000, China
[Abstract] Objective: To analyze thyroid surgery improved the clinical application of Miccoli. Methods: January 2005 to June 2010 in our hospital because of benign thyroid disease and surgical treatment of cases, the total of 236 cases, male 31 cases, female 205 cases, surgical procedures were the thyroid gland total or subtotal surgery. According to the different surgical techniques used were divided into three groups, treatment groups: modified Miccoli surgery group; group 1: conventional surgery group; group 2: sternum, areola pathway completely laparoscopic surgery group. The treatment group and control group in the incision size, operative time, blood loss, complications, hospital stay, hospital costs, cosmetic results, patient satisfaction and other differences. Results: Improved Miccoli surgery did not increase operative time, complications and hospitalization costs, small incision, less bleeding, better cosmetic results, patient satisfaction was high. Conclusion: The modified Miccoli surgery in the treatment of benign thyroid diseases has a good effect, but also has a high postoperative cosmetic results, it is worth promoting.
[Key words] Modified Miccoli thyroid surgery; Clinical application; Contrast; Research
甲状腺疾病常见于女性，患者往往有较高的美容要求。良性病变中最常见的病理类型为甲状腺腺瘤或结节性甲状腺肿，而甲状腺腺叶全切或次全切除术是甲状腺良性疾病最常使用的手术方法。传统的手术方法是通过颈部开放性切口进行手术；完全腹腔镜手术采用远离颈部的胸骨前、乳晕部位的入路，在颈部建腔操作，避免了经常暴露部位的切口而达到美容目的；改良Miccoli手术具备传统手术的易操作性，可以保证手术的微创，又具备良好的美容效果。本文就甲状腺改良Miccoli手术在临床上的应用情况进行了全面研究。
1 资料与方法
1.1 一般资料
选择2005年1月～2010年6月在本院行甲状腺手术治疗患者 ......
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