摘要
目的 比较三种手术入路治疗甲状腺肿的效果. 方法 对巨野县人民医院2011年7月至2014年7月收治的186例甲状腺肿瘤患者展开研究,平均分为三组. A组行腔镜手术,B组为外侧入路,C组为改良中间入路,比较三组手术时间、引流量、住院时间、并发症发生率、美容满意度及复发率. 结果 三组手术时间及引流量两两比较差异均未见统计学意义(P〉0.05);C组住院时间最短,与A、B两组比较差异有统计学意义(P〈0.05). C组并发症发生率为1.6%(1例皮下气肿),显著低于A、B两组的11.3%和12.9%(P〈0.05);仅1例患者复发,复发率显著低于A、B两组( P〈0.05 );A、B组美容满意度均较高,分别达到96.8%、93.5%,显著高于C组( P〈0.05). 结论 改良中间入路甲状腺切除术治疗甲状腺肿瘤是一种安全、有效、并发症少的术式,患者术后恢复更快,具有较高临床借鉴价值.
Objective To compare the effects of three surgical approaches on patients with thyroid tumor .Meth-ods One hundred and eighty-six patients with thyroid tumor were treated from July 2011 to July 2014 as the research ob-jects, and they were divided into three groups .Group A was given the endoscopic surgery , group B was given the lateral approach, and group C was given the modified into intermediate approach .And then the operative time, drainage, hospital stay, complication rates , the satisfaction of beauty and recurrence rate of the three groups were compared .Results The surgical time and drainage of three groups had no significant difference ( P〉0.05 ); group C had the shortest length of stay, compared with group A and group B , there was significant difference (P〈0.05).The complication rates of group C was 1.6%( 1 case of subcutaneous emphysema ) , which was significantly lower than that of the group A and group B (11.3%,12.9%) , P〈0.05; and there was only one patient relapsed , and the recurrence rate was significantly lower than that of group A and group B ( P〈0.05 ); group A and group B had a high beauty satisfaction degree ( 96.8% and 93.5%), which were significantly higher than that of group C (P〈0.05).Conclusions Thyroidectomy with the modified into intermediate approach in treating thyroid cancer is a surgical approach which is safe , effective, and has less surgical complications , patients can get quick recoveries , and it is worthy of promotion and application .
出处
《中国实用医刊》
2015年第23期35-36,共2页
Chinese Journal of Practical Medicine
关键词
手术入路
甲状腺肿瘤
美容效果
Surgical approach
Thyroid tumor
Cosmetic results