小切口甲状腺手术的临床意义探究

Investigation of the Clinical Significance of Small Incision Thyroid Surgery

目的探究小切口甲状腺手术治疗的临床意义。方法整群选取该院2012年5月—2013年10月收治的68例甲状腺良性肿瘤患者作为研究对象,随机分为对照组和观察组两组,每组34例患者。对照组患者采取传统的甲状腺次全切除术,而观察组患者采取小切口甲状腺次全切除术。然后对比两组患者治疗的切口长度、手术时间以及术中出血量。结果观察组甲状腺良性肿瘤患者的术中出血量为(17.52±6.38)m L,手术时间为(69.23±10.50)min,切口长度(3.54±0.28)cm。观察组甲状腺良性肿瘤患者的切口长度、手术时间以及术中出血量均优于对照组患者(P<0.05)。结论使用小切口甲状腺次全切除术治疗甲状腺良性肿瘤,切口小,效果显著,能够有效降低术中出血量,减少手术时间,值得在临床上推广应用。

Objective To explore the clinical significance of small incision thyroid surgery. Methods 68 cases with benign thyroid tumor admitted in our hospital from May 2012 to October 2013 were selected as the subjects and randomly divided into the control group and the observation group with 34 cases in each. Patients in the control group were treated by the traditional subtotal thyroidectomy, while the observation group were treated by small incision subtotal thyroidectomy. The length of incision, duration of procedure, and intraoperative blood loss of the two groups were compared. Results The intraoperative blood loss was（17.52 ± 6.38） m L in the observation group, which was less than that in the control group（P0.05）.The duration of procedure was（69.23 ± 10.50） min in the observation group, which was shorter than that in the control group（P 0.05）. The incision length was（3.54 ± 0.28） cm in the observation group, which was shorter than that in the control group（P〈0.05）. Conclusion For benign thyroid tumor, small incision subtotal thyroidectomy can effectively reduce the intraoperative blood loss and shorten the duration of procedure with significant effect and small incision, which is worthy of clinical application and promotion.