传统甲状腺切除术与改良小切口甲状腺切除术治疗甲状腺结节的临床疗效比较

Comparison of Clinical Effects of Traditional Thyroidectomy and Modified Small Incision Thyroidectomy for Thyroid Nodules

目的对比分析传统的甲状腺切除与改良小切口甲状腺切除术治疗甲状腺结节的临床疗效和并发症发生情况。方法选取本院2013年3月至2015年7月间收治的88例甲状腺结节患者作为研究对象,全部患者均已确诊为甲状腺良性肿瘤。按照随机平均的原则将其分为两组,即观察组和对照组,每组44例,其中观察组患者采用改良小切口甲状腺切除术,而对照组患者采用传统的甲状腺切除术,对比分析两组患者的术后住院的时间、术中的出血量、手术时间及并发症的发生情况,采用VAS疼痛评测标准对患者术后的生活质量进行评估。结果观察组患者的平均手术时间明显比对照组短(P<0.05);术后住院的时间比对照组短(P<0.05);术中出血量明显比对照组少(P<0.05)。观察组患者中未见低钙抽搐、呼吸困难、切口粘连等严重并发症,并发症的发生率明显低于对照组(P<0.05)。观察组患者的疼痛评分明显低于对照组(P<0.05),术后的生活质量明显高于对照组(P<0.05)。结论改良小切口甲状腺切除用于治疗甲状腺结节时的手术时间较短、术中出血量较少、平均住院的时间较短,且术后的并发症较少,具有较好的临床疗效,可有效改善患者的生活质量,可在临床上推广应用。

Objective To compare conventional thyroid resection with modified mini incision of thyroidectomy forthe treatment of thyroid nodules on clinical efficacy and incidence ofcomplications.Methods 88 patients with thyroid nodules were selected inthe research project.All patients were diagnosed as thyroid benign tumor.Based on averaging principle of stochastic,the study subjects were divided into two groups,the observation group and the control group,44 cases in each group.The observation group receivedthe modified lowsmall incision for thyroidectomy,and the control group was treated with traditional thyroidectomy,comparative analysis between two groups included postoperative hospital time,intraoperative bleeding volume,operation time and complication occurrence.VAS pain evaluation criteria was used to evaluate the quality of postoperative life of patients.Results Average operation time of the observation group was significantly shorter than that of the control group（P〈0.05）.The length of hospital stay was shorter than that of the control group（P〈0.05）.The amount of bleeding during operation was significantly less than that of the control group（P〈0.05）.In the observation group,the incidence of complications was significantly lower than that of the control group（P〈0.05）.The pain score of the observation group was significantly lower than that of the control group（P〈0.05）,and the quality of life after surgery was significantly higher than that of the control group（P〈0.05）.Conclusion The modified small incision thyroidectomy for treatment of thyroid nodules has following advantages：the operation time is short,less bleeding,shorter hospitalization time,and less postoperative complications.It has better clinical efficacy and can effectively improve the quality of life of patients.