甲状腺切口瘢痕最小化综合技术的应用

Application of integrated techniques for minimized scars in open thyroidectomy

目的:研究在甲状腺开放手术中,采用切口瘢痕最小化综合技术的临床效果。方法:98例行甲状腺切除手术患者采用新方法(切口瘢痕最小化综合技术),96例患者采用常规方法,比较两组术后早期(1周)、晚期(3月和12月)瘢痕评分,以及患者本人对切口瘢痕的满意度。结果:新方法组和常规方法组的早期瘢痕评分分别为4.91±0.66和4.08±0.90(P<0.05);术后3月切口评分各为8.71±0.66和6.08±0.90(P<0.05),术后12月切口评分各为9.32±0.66和7.24±0.90(P<0.05);新方法组和常规方法组对切口瘢痕表示满意的分别有62例和48例(P<0.05)。结论:在甲状腺开放手术中,采用切口瘢痕最小化综合技术能有效减轻术后瘢痕,提高患者的满意度。

Objective To study the clinical results of using integrated technology to minimize scars in open thyroid surgery. Methods Patients were randomly assigned to new methods group （98 cases） and conventional group（96 cases）.Early （1 week） and late （3rd and 12th month） scars scores postoperatively were compared and the patient＇s satisfaction were record in 12th month. Results The early scars scores of incision in new methods group and conventional group were 4.91±0.66 vs 4.08±0.90,respectively （P〈0.05）. the late scars scores in 3rd month and 12th month were and 8.71±0.66 vs 6.08 ± 0.90 and 9.32±0.66 vs 7.24 ± 0.90,respectively （P〈0.05）.the patients expressed satisfaction with the incision scars were 62 vs 48 in new methods group and conventional group at 12th month （P〈0.05）. Conclusions In the open thyroid surgery, integrated techniques for minimized scars can effectively reducing the incision scars and improving patients satisfaction.