小切口甲状腺手术与传统开放性甲状腺手术的比较

The comparison of small incision and traditional open operation in thyroid resection

目的探讨小切口甲状腺切除术与传统开放性甲状腺切除术的临床效果。方法将甲状腺良性疾病患者72例按随机原则分为小切口甲状腺切除术组和传统开放甲状腺切除术组，其中小切口甲状腺切除术组30例，传统开放甲状腺切除术组42例，比较两组患者的手术时间、术中出血量、术后引流量、术后疼痛评分、住院时间、术后3个月颈部感觉及切口满意程度。结果小切口甲状腺切除术组比传统开放甲状腺切除术组的手术时间长、术中出血量少、术后引流量少、术后疼痛评分轻、住院时间短，各项指标差异均有统计学意义（均P〈0．05）。术后3个月随访结果显示传统开放甲状腺切除术组患者出现颈部感觉异常、吞咽困难程度较重，而小切口甲状腺切除术后切口满意度评分较高，上述各项指标差异均有统计学意义（均P〈0．05）。结论小切口甲状腺切除术具有创伤小、恢复快、并发症少等优点，术后疼痛较轻、切口美观，是一种安全、有效的手术方式。

Objective To explore the clinical effect of a small incision and traditional open resection for thyroid resection. Methods 72 patients with benign thyroid disease were randomly divided into small incision thyroid resection group and traditional open thyroid resection group, including small incision of 30 cases of thyroid resection group, the traditional open 42 patients with thyroid resection group, compared two sets of patients at the time of the op- eration,and postoperative peri-operative bleeding and postoperative pain score led flow, length of hospital stay, 3 months after operation neck feel and incision satisfaction. Results The two groups of patients were performed suc- cessfully, compared with traditional open thyroid resection small incision thyroid resection had longer time, the opera- tion of less peri-operative bleeding and postoperative lead flow and postoperative pain score less light, the length of time was short, compared the indicators had statistically significant difference （ all P 〈 0.05 ）. After 3 months follow-up results showed that patients in traditional open thyroid resection group appeared paresthesia, difficulty swallowing the neck was heavier, and degree of small incision thyroid after resection, incision, the above-mentioned higher scores sat- isfaction index comparative differences were statistically significant （ all P 〈 0.05）. Conclusion Resection of small incision with thyroid small trauma, had quick recovery, less complications, in addition, postoperative pain advantages lighter, and incision was beautiful, and it was a safe and effective operation method.