精细化与微创化甲状腺手术的疗效观察(1)
【摘要】 目的：探究精细化与微创化甲状腺手术的疗效，为临床提供指导。方法：以2015年5月-2017年5月来笔者所在医院接受救治的106例甲状腺手术患者作为观察对象，对106例患者的临床资料进行回顾性分析，其中传统组46例，应用传统开放式手术治疗，试验组60例，应用精细化与微创化手术治疗。研究对比传统组和试验组患者的手术时间、术中出血量、引流时间、手术切口长度及并发症发生率。结果：试验组患者术中出血量(13.24±5.61)ml、引流时间(2.10±0.67)d，均优于传统组的(36.27±7.77)ml、(3.88±2.32)d，手术切口长度(2.95±0.64)cm，相比传统组明显更小，差异均有统计学意义(P<0.05)；试验组患者的手术时间(109.71±20.46)min，与传统组比较差异无统计学意义(P>0.05)；试验组患者并发症发生率(6.67%)相比传统组明显更低，差异有统计学意义(P<0.05)。结论：精细化与微创化甲状腺手术相比传统开放式手术具有术中出血量少、引流时间短、手术切口长度小等优点，且患者发生并发症的几率更低。
【关键词】 精细化； 微创化； 甲状腺； 手术
doi：10.14033/j.cnki.cfmr.2017.36.007 文献标识码 B 文章编号 1674-6805(2017)36-0016-02
【Abstract】 Objective：To explore the curative effect of refined and minimally invasive thyroid surgery，and provide guidance for clinical practice.Method：From May 2015 to May 2017 in our hospital treated 106 cases of thyroid surgery patients as research object，the clinical data of 106 patients were retrospectively analyzed，including the traditional group(46 cases，the application of traditional open surgery)，the experimental group(60 cases，the application of fine with minimally invasive surgery).Compared the operation time，intraoperative bleeding，drainage time，incision length and complication rate of patients with traditional group and exper imental group.Result：The experimental group of intraoperative bleeding (13.24±5.61)ml，drainage time (2.10±0.67)d，compared with the traditional group (36.27±7.77)ml，(3.88±2.32)d were significantly less，and the incision length (2.95±0.64)cm compared with the traditional group(7.62±1.10) cm was significantly smaller(P<0.05)，but the experimental group of patients with operation time (109.71±20.46)min and the traditional group(105.84±18.61)min had no significant difference(P>0.05)；the incidence of complications of patients in the experimental group(6.67%) compared with the traditional group(23.91%) was significantly lower(P<0.05).Conclusion：Compared with traditional open surgery，fine and minimally invasive thyroid surgery has less intraoperative blood loss，drainage time，and the advantages of small incision length，and the risk of complications in patients with lower.
【Key words】 Fine； Minimally invasive； Thyroid； Surgery
First-author’s address：Longyan Hospital of Fujian University of Traditional Chinese Medicine，Longyan 364300，China
甲狀腺切除手术是治疗甲状腺疾病的有效手段[1]。以往，临床常对患者实施传统开放式手术切除治疗，虽然该术式可获得较好的手术治疗效果，但该手术的创伤较大，患者并发喉返神经损伤、甲状旁腺损伤的几率较高，且瘢痕长度较长，患者的满意度不高[2-3]。笔者所在医院对甲状腺手术患者分别实施传统开放式手术切除治疗和精细化与微创化甲状腺手术切除治疗，以探究精细化与微创化甲状腺手术的疗效，报道如下。, http://www.100md.com(刘鹏原 祝文发 林贤梅)
【关键词】 精细化； 微创化； 甲状腺； 手术
doi：10.14033/j.cnki.cfmr.2017.36.007 文献标识码 B 文章编号 1674-6805(2017)36-0016-02
【Abstract】 Objective：To explore the curative effect of refined and minimally invasive thyroid surgery，and provide guidance for clinical practice.Method：From May 2015 to May 2017 in our hospital treated 106 cases of thyroid surgery patients as research object，the clinical data of 106 patients were retrospectively analyzed，including the traditional group(46 cases，the application of traditional open surgery)，the experimental group(60 cases，the application of fine with minimally invasive surgery).Compared the operation time，intraoperative bleeding，drainage time，incision length and complication rate of patients with traditional group and exper imental group.Result：The experimental group of intraoperative bleeding (13.24±5.61)ml，drainage time (2.10±0.67)d，compared with the traditional group (36.27±7.77)ml，(3.88±2.32)d were significantly less，and the incision length (2.95±0.64)cm compared with the traditional group(7.62±1.10) cm was significantly smaller(P<0.05)，but the experimental group of patients with operation time (109.71±20.46)min and the traditional group(105.84±18.61)min had no significant difference(P>0.05)；the incidence of complications of patients in the experimental group(6.67%) compared with the traditional group(23.91%) was significantly lower(P<0.05).Conclusion：Compared with traditional open surgery，fine and minimally invasive thyroid surgery has less intraoperative blood loss，drainage time，and the advantages of small incision length，and the risk of complications in patients with lower.
【Key words】 Fine； Minimally invasive； Thyroid； Surgery
First-author’s address：Longyan Hospital of Fujian University of Traditional Chinese Medicine，Longyan 364300，China
甲狀腺切除手术是治疗甲状腺疾病的有效手段[1]。以往，临床常对患者实施传统开放式手术切除治疗，虽然该术式可获得较好的手术治疗效果，但该手术的创伤较大，患者并发喉返神经损伤、甲状旁腺损伤的几率较高，且瘢痕长度较长，患者的满意度不高[2-3]。笔者所在医院对甲状腺手术患者分别实施传统开放式手术切除治疗和精细化与微创化甲状腺手术切除治疗，以探究精细化与微创化甲状腺手术的疗效，报道如下。, http://www.100md.com(刘鹏原 祝文发 林贤梅)