改良甲状腺包块切除术探讨

The research of modified thyroidectomy

目的探讨改良甲状腺包块切除术的临床应用。方法将患者分为观察组与对照组，分别采取改良甲状腺包块切除术和传统术式，并在手术时间、引流量、切口长度及并发症发生率等项目上进行对比研究。结果经统计学分析，改良术式手术时间、引流量及切口长度较传统术式明显缩短，有显著性差异（P〈0．01）。观察组无1例发生神经损伤或甲状旁腺损伤；对照组发生神经损伤4例，甲状旁腺损伤2例。两组神经损伤和甲状旁腺损伤发生率均有显著性差异（P〈0．01）。结论改良甲状腺包块切除术能简化手术操作，减少并发症发生，同时美容效果好，符合现代手术微创、美观的发展趋势。丰富了微创甲状腺外科手术技巧理论与实践，具有广阔的临床应用前景。

Objective To explore the clinical application of modified thyroidectomy. Methods To separate the patients into two groups and take modified thyroidectomy and traditional surgery individually; Compare the two groups in operation time , drainage and the incidence of complication. Results Traditional surgery is worse than the modified thyroidectomy in these aspects. Conclusion The modified thyroidectomy can simplify the operation ,decrease the incidence of complication, it should be applied in clinic.