甲状腺中间入路手术路径在甲状腺手术中的应用

Thyroid surgery middle path approach applied in thyroid surgery

目的：对甲状腺中间入路手术路径在甲状腺手术中的临床应用效果进行探讨。方法选取我院2011年8月～2014年8月所收治的甲状腺手术患者600例作为研究对象，并将其随机分成两组，即观察组与对照组，对照组患者采取传统颈前切口甲状腺上方入路实施甲状腺手术，而观察组患者则采取甲状腺中间入路实施甲状腺手术，对两组患者的治疗效果、并发症等情况进行观察与比较。结果观察组患者手术治疗时间、术中出血量以及住院时间等明显低于对照组，差异明显，具有统计学意义（P ＜0.05）；观察组患者术后引流量高于对照组，存在显著差异，具有统计学意义（P ＜0.05）；观察组患者并发生发生率、美容满意度等均高于对照组患者，差异明显，具有统计学意义（P ＜0.05）。结论对实施甲状腺切手术患者予以甲状腺中间入路手术路径，能够有效缩短手术治疗的时间，降低并发症的发生，且疗效显著，值得在临床上大力推广。

Objective To investigate the clinical application effect of thyroid surgery middle path approach in thyroid surgery. Methods 600 cases in our hospital from August 2011 to August 2014 with thyroid surgery were selected as a research object, and were randomly divided into two groups, an observation group and a control group, the control group of patients received traditional anterior incision thyroid above approach to implement thyroid surgery, and the observation group received the middle of the road implementation thyroid thyroid surgery, the reatment effect, complications, etc. between the two groups were observed and compared. Results Surgery time, blood loss and hospital stay in the observation group was significantly lower than that in the control group, the difference was significant, with statistical significance （P 〈 0.05）; postoperative drainage in the observation group was higher, there were significant differences , with statistical significance （P 〈 0.05）; the incidence of occurrence, beauty satisfaction, etc. in the observation group was higher than the control group, with statistically significant differences （P 〈 0.05）. Conclusion On the implementation of thyroid surgery to be cut into the middle of the road thyroid surgery route, can effectively reduce surgery time, reduce the incidence of complications, and the effect is significant, worthy of clinical promoting.