小切口改良甲状腺切除术的临床价值探析

Clinical Value of Small Incision in Modified Thyroidectomy

目的探讨小切口改良甲状腺切除术的临床应用价值。方法随机抽取2016年4月至2017年4月本院收治的择期行甲状腺手术的甲状腺腺瘤患者,共92例。按照随机原则,将92例患者分为研究组(小切口改良甲状腺切除术,n=46)与对照组(传统手术,n=46)。术后随访6个月,对比两组手术相关指标、并发症及生活质量评分变化。结果研究组手术时间短于对照组,手术切口小于对照组,术中出血量少于对照组,住院时间短于对照组,疼痛评分低于对照组,结果有统计学意义(P<0.05);研究组、对照组患者并发症发生率分别为2.2%(1/46)、17.4%(8/46),结果有统计学意义(P<0.05);随访结束时,研究组生活质量各指标评分均优于对照组,结果有统计学意义(P<0.05)。结论甲状腺腺瘤治疗过程中,采用小切口改良甲状腺切除术治疗,能获得较传统手术更为理想的效果,具有创伤小、出血少等特点,可缩短疗程,且能减少并发症的发生,提升生活质量,值得进行深入研究和推广。

Objective To investigate the modified small incision thyroidectomy clinical value. Methods A total of 92 cases of thyroid adenoma were randomly selected from April 2016 –April 2017 year in our hospital. According to the principle of random, 92 patients were divided into study group（modified small incision thyroidectomy, n=46） and control group（traditional surgery, n=46）. After 6 months of follow-up, the changes in the related indexes, complications and quality of life of the two groups were compared. Results The operative time in the study group was shorter than that in the control group. The operative incision was smaller than that in the control group. The amount of bleeding during operation was less than that in the control group. The hospitalization time was shorter than that in the control group, and the pain score was lower than that in the control group. The result was statistically significant（P〈0.05）. The incidence of complications in the study group and the control group were 2.2%（1/46） and 17.4%（8/46） respectively, and the results were statistically significant（P〈0.05）. At the end of the follow-up, the scores of the quality of life of the study group were all better than those of the control group, and the results were statistically significant（P〈0.05）. Conclusion Thyroid adenoma in the treatment process, using the modified small incision thyroidectomy treatment, can obtain a more ideal effect of traditional surgery, with less trauma, less bleeding and other characteristics, which can shorten the course of treatment, and can reduce the incidence of complications, improve the quality of life, worthy of further research and promotion.