低位小切口切除术与传统手术治疗甲状腺瘤的临床效果对比分析

The Clinical Effect of Thyroid Tumors Patients Treated with Low Small Incision Surgery and Traditional Surgery

目的:对比分析低位小切口切除术与传统手术治疗甲状腺瘤的效果。方法:选取2012年10月-2015年7月来本院治疗的甲状腺瘤患者143例,将其按照随机数字表法分为两组,观察组71例,采用低位小切口切除术治疗,对照组72例,采用传统手术方法治疗,比较两组手术情况、疼痛程度及切口美容评分、并发症发生情况。结果:观察组术中出血量明显少于与对照组,手术切口长度及住院时间明显较短,两组比较差异均有统计学意义(P<0.05)。两组手术时间比较差异无统计学意义(P>0.05);观察组术后6、24 h VAS评分均明显低于对照组,切口美容评分明显较高,两组比较差异均有统计学意义(P<0.05)。观察组并发症总发生率明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论:甲状腺瘤患者采用低位小切口切除术治疗效果显著,对患者造成的创伤小,出血量少,减轻患者的疼痛感,缩短了住院时间,安全性高,且有良好的切口美容效果,患者更易于接受,建议在临床推广应用。

Objective： To compare the clinical effect of thyroid tumors patients treated with low small incision surgery and traditional surgery. Method： There were 143 cases of thyroid tumors for the study, all of them were selected from October 2012 to July 2015 in our hospital and according to the random number table, they were divided into two groups, the observation group had 71 cases, treated with low small incision the treatment, the control group had 72 cases, used traditional surgical treatments. The operation case, the pain and wound beauty score, complications occurrence of two groups were compared. Result： The blood loss of the observation group was significantly smaller than the control group, the incision length and hospital stay were significantly shorter than the control group, the differences were statistically significant （ P〈0.05 ） . There were no significant difference in tile operation time between the two groups （ P〉0.05 ） .The VAS score of 6, 24 h after operation of the observation group were significantly lower than the control group, wound beauty score was significantly higher than the control group, the differences were statistically significant （ P〈0.05 ） . The overall incidence of complications in the observation group was significantly lower than the control group, the difference was statistically significant （ P〈O.05 ）. Conclusion： The clinical effect of the thyroid tumors patients treated with low small incision surgery treatment is significant, it can significantly less trauma to the thyroid tumors patients, and reduce the amount of bleeding, relieve pain of patients, shorten the hospital stay time, the security is higher, and there is a good notch cosmetic results, the thyroid tumors patients are more easy to accept, it can be recommended clinical application.