低位小切口与传统甲状腺手术治疗甲状腺良性结节的对照分析

Contrast analysis between low small incision thyroidectomy and traditional thyroidectomy in the treatment of benign thyroid nodules

目的 对比研究低位小切口手术、小切口甲状腺切除术和传统甲状腺手术在甲状腺结节治疗中的运用.方法 选择2012年1～12月在四川省阆中市人民医院进行甲状腺良性结节治疗的患者124例.所有患者均经彩超和CT检查确诊,根据治疗方法不同分为观察组和对照组.观察组患者使用低位小切口甲状腺切除术,对照组患者给予传统的甲状腺切除手术治疗.观察并比较两组患者的住院时间、术中出血量、手术时间及切口长度等.结果 观察组住院时间[（6.78±2.46）d]、术中出血量[（40.16±3.02）mL]、手术时间[（40.67±2.45） min]和切口长度[（4.65±0.77） cm]均低于对照组[（7.28±2.54）d、（74.67±2.84）mL、（66.04±2.75）min和（6.35±0.58）cm],两组相比,差异有统计学意义（P＜0.05）.结论 低位小切口手术对患者的伤害小、出血少、恢复快,且切口小不易被发觉.低位小切口术在甲状腺疾病外科手术中的运用,不仅满足了广大患者对健康的需求,同时也满足了美容效果上的需求.低位小切口甲状腺手术的术后并发症,如术后出血、颈部不适、疼痛程度等都比传统手术要少且美容效果好.

Objective To compare the low small incision thyroidectomy, small incision thyroidectomy and traditional thyroidectomy in the treatment of thyroid nodules. Methods 124 cases with benign thyroid nodules treated in People＇s Hospital of Langzhong City from January 2012 to December 2012 were selected. All patients were diagnosed by ultra- sound and CT. These patients were divided into observation group and control group according to the different treat- ment methods. The observation group was treated with low small incision thyroidectomy, and observed during operation and recovery after operation, and their clinical data were analyzed. The control group was treated with traditional thy- roidectomy. Hospitalization time, blood loss, length of operation and incision were observed and compared. Results The hospitalization time of observation group was （6.78±2.46） d, blood loss was （40.16±3.02） mL, length of operation was （40.67±2.45） min, and incision length was （4.65 ± 0.77） cm, all of these were lower than control group [（7.28± 2.54） d, （74.67±2.84） mL, （66.04±2.75） min and （6.35±0.58） cm] respectively, the differences were statistically signifi- cant （P 〈 0.05）. Conclusion Low small incision is not only slight injury, less bleeding, faster recovery, but also small incision and not easy to be noticed. The application of low small incision thyroidectomy not only meet the demand of health, but also the needs of cosmetic effect. Postoperative complications of low small incision thyroidectomy are less than traditional thyroidectomy, such as postoperative bleeding, neck discomfort, pain degree and others , and has a good cosmetic effect.