改良小切口手术治疗甲状腺腺瘤的临床疗效及预后效果分析

Clinical Efficacy and Prognosis of Modified Small Incision for Thyroid Adenoma

目的 探讨改良小切口手术治疗甲状腺腺瘤的临床疗效及预后效果.方法 选取2017年8月至2019年6月就诊于我院的90例甲状腺腺瘤患者,按随机数字表法分为两组,各45例.试验组行改良小切口手术,对照组行传统甲状腺切除术,比较两组围术期指标、甲状腺功能指标、并发症.结果 试验组术中失血量、切口长度、手术操作时间、住院时间均低于对照组,差异有统计学意义(P<0.05);试验组术后三碘甲状腺原氨酸(TT3)、总甲状腺素(TT4)、促甲状腺激素(TSH)水平均低于对照组,差异有统计学意义(P<0.05);试验组总并发症发生率低于对照组,差异有统计学意义(P<0.05).结论 甲状腺腺瘤患者行改良小切口手术治疗对机体造成的损伤较小,能缩短住院时间,改善甲状腺功能,术后并发症较少,安全性较高,利于患者术后康复,值得推广.

Objective This paper aims to investigate the clinical eficacy and prognosis of modified small incision for thy-roid adenoma.Methods 90 patients with thyroid adenoma who were admitted to our hospital from August 2017 to June 2019 were randomly divided into two groups.The experimental group underwent modified small incision surgery,and the control group un-derwent conventional thyroidectomy.The perioperative index,thyroid function index and complications were compared between the two groups.Results The blood loss,length of incision,operation time,hospitalization time and the levels of TT3,TT4 and TSH of the experimental group were lower than those of the control group(P<0.05).The incidence of total complication in the experimental group was lower than that in the control group(P<0.05).Conclusion Patients with thyroid adenoma undergoing modified small incision surgery have less damage to the body,can shorten hospital stay,improve thyroid function,have fewer postoperative complications,and have higher safety.