传统与小切口甲状腺切除术治疗甲状腺结节临床对比分析

Comparison of traditional and small incision thyroidectomy for thyroid nodules

目的 探讨传统与小切口甲状腺切除术治疗甲状腺结节临床效果对比.方法 将2012年6月至2016年9月该院收治的48例甲状腺结节患者分为观察组和对照组,各24例.观察组采用小切口甲状腺切除术,对照组采用传统甲状腺切除术.比较两组患者手术时间、切口长度、术中出血量、住院时间及术后并发症发生率.结果 观察组患者手术时间、切口长度、术中出血量、住院时间、术后并发症发生率均明显优于对照组,差异有统计学意义（P〈0.05）.结论 与传统甲状腺切除术比较,甲状腺结节患者应用小切口甲状腺切除术治疗,可减少其术中出血量,缩短手术时间与住院时间,手术创伤较小,更容易恢复,值得在临床中应用与推广.

Objective To study the clinical effect of traditional and small incision thyroidectomy for thyroid nodules.Methods From June 2012 to September 2016,48 patients with thyroid nodules were divided into the observation group and the control group, each with 24 cases.The observation group was treated with small incision thyroidectomy,the control group used traditional thyroid-ectomy.The operation time,incision length,intraoperative blood loss,length of stay and postoperative complications were compared between the two groups.Results The operation time,incision length,intraoperative bleeding volume,hospitalization time and post-operative complication rate of the observation group were significantly better than those of the control group,the difference was sta-tistically significant （P〈0.05）.Conclusion Compared with conventional thyroidectomy,thyroid nodules in patients with small in-cision thyroidectomy treatment,can reduce the amount of bleeding in the operation,shorten the operation time and hospitalization time,less surgical trauma,easy recovery,worthy of application and promotion in clinical practice.