低位小切口甲状腺手术治疗甲状腺良性结节患者的临床疗效

Low small Incision Thyroid Surgery clinical Curative effect Analysis for the Treatment of Benign Ehyroid Nodules

目的探讨低位小切口甲状腺手术治疗甲状腺良性结节的临床疗效。方法选取2013年5月至2015年5月在朝阳市中心医院进行诊治的甲状腺良性结节患者118例为研究对象,按随机数字表法分为对照组和观察组,每组59例。对照组患者采取传统甲状腺切除术进行治疗,观察组患者采取低位小切口甲状腺切除术进行治疗,比较两组患者的切口长度、手术时间、术中失血量、住院时间及复发情况。结果观察组患者的切口长度、手术时间、术中失血量、住院时间均明显低于对照组,差异均有统计学意义(均P<0.05);观察组患者的复发率3.4%(2/59)显著低于对照组的13.6%(8/59),差异有统计学意义(P<0.05)。结论低位小切口甲状腺手术治疗甲状腺良性结节临床效果及美容效果均较理想,可作为临床治疗的最佳选择。

Objective To study the analysis of low small incision thyroid surgery clinical effect for the treatment of benign thyroid nodules.Methods From May 2013 to May 2015,118 cases of thyroid benign nodules were selected as the research object,and the control group and observation group were randomly divided into control group and observation group with 59 cases in each group.The control group was taken traditional thyroidectomy treatment, patients in the observation group adopt low small incision thyroidectomy for treatment,compared two groups of patients with incision length, operative time,blood loss,hospitalization time and the recurrence of the situation.Results The treatment group patients in incision length,operative time,intraoperative blood loss,hospital stay were significantly lower than that in control group,the differences P〈0.05 was statistically significant. Treatment group of patients with recurrence rate 3.4%（2/59） was significantly lower than the control group（8/59）,13.6% of the differences P〈0.05 was statistically significant.Conclusion Small incision thyroid low the clinical effect of surgical treatment of benign thyroid nodules and cosmetic effect is more ideal,can be used as the best choice for clinical treatment.