两种术式治疗甲状腺良性结节临床疗效分析

The Clinical Outcomes Between Two Kinds of Surgical Treatment of Benign Thyroid Nodules

目的探讨分析传统甲状腺手术与低位小切口手术在甲状腺良性结节治疗中的临床价值。方法 2013年1月~2014年2月收已确诊甲状腺良性结节患者79例,依据临床治疗方案不同分为对照组和观察组。对照组患者采取传统甲状腺切除术进行治疗,观察组则给予低位小切口甲状腺切除术,观察并比较两组患者手术时间、术中出血量、术后引流量及切口长度;术后随访6个月,比较两组患者手术效果。结果观察组患者手术时间为(64.3±8.4)min,明显长于对照组(t=3.147,P<0.01),但观察组患者术中出血量、术后引流量及切口长度均明显优于对照组(t=4.258,3.408,2.773,P<0.01);术后随访统计,观察组患者手术疗效显著优于对照组(P<0.05)。结论低位小切口甲状腺手术对患者损伤较小,术后恢复较好,且手术安全有效,美观满意度高,值得进一步在基层医院推广。

Objective To Analysis the clinical value of the low small incision thyroideetomy and traditional thyroideetomy in the treatment of thyroid nodules. Methods 79 patients with benign thyroid nodules were divided in January 2013 to February 2014 of a hospital in henan province,they confirmed into control group and observation group by the clinical treatment plan. Control group adopts the traditional thyroidectomy in patients with treatment,observation group were given low thyroid resection of small incision. The two groups of patients were observe and compare with operation time,intraoperative blood loss,postoperative led traffic and incision length in 6 months after operative,in order to compared the surgical outcomes of two groups of patients. Results The observation group of patients with operation time was（ 64. 3 ± 8. 4） min,significantly longer than control group（ t = 3. 147,P〈0. 01）,but the observation group of patients,intraoperative blood loss,postoperative led traffic and incision length were significantly better than the control group（ t = 4. 258,3. 408,4. 258,P〈0. 01）; The observation group of patients＇ surgical curative effect is significantly better than that of control group（ P〈0. 05）. Conclusions Low small incision thyroideetomy for patients with small incision less damage,better postoperative recovery,and surgery is safe and effective,It＇ s worth popularizing further in basic- level hospitals.