改良小切口手术与传统甲状腺切除术治疗甲状腺瘤的效果对照

Effect comparison between modified small incision surgery and traditional thyroidectomy in the treatment of thyroid neoplasms

目的对甲状腺瘤患者分别采取改良小切口手术与传统甲状腺切除术进行治疗,对其临床疗效进行比较分析。方法将2015年7月~2017年6月准备在我院实施甲状腺瘤手术的40例患者作为此次研究的对象,采用硬币分组的方式对其进行分组,并分为传统组20例和改良组20例,传统组患者采取传统甲状腺切除术进行治疗,改良组患者采取改良小切口手术进行治疗,对其临床疗效、并发症发生率、手术时间、术中出血量、切口长度及住院时间进行比较。结果改良组患者治疗总有效率90.0%比传统组患者90.0%高,差异有统计学意义(P<0.05)。改良组患者术后并发症发生率15.0%比传统组患者50.0%低,差异有统计学意义(P<0.05)。改良组患者手术时间、术中出血量、切口长度及住院时间要比传统组患者短,差异有统计学意义(P<0.05)。结论改良小切口手术治疗甲状腺瘤具有效果好、并发症少、切口小、预后好等优势,降低了复发的几率,值得推广。

Objective To analyze the clinical effect of modified small incision surgery and traditional thyroidectomy in the treatment of patients with thyroid neoplasms. Methods From July 2015 to June 2017,40 patients who were scheduled to undergo thyroid tumor surgery in our hospital were selected as the subjects of this study and divided into two groups：traditional group（20 cases） and modified group（20 cases） by coin grouping.The patients in traditional group were treated with traditional thyroid resection,the patients in the modified group were treated with modified small incision operation.The clinical efficacy,complication rate,operative time,intraoperative blood loss,incision length and length of stay were compared. Results（1）The total effective rate of the modified group was 90.0%,and higher than that of the traditional group（90.0%）.The difference was statistically significant（P〈0.05）.（2）The incidence of postoperative complications in the modified group was 15.0%,and lower than that in the traditional group（50.0%）.The difference was statistically significant（P〈0.05）.（3）The operative time,intraoperative blood loss,incision length and hospital stay in the modified group were shorter than those in the traditional group.The difference was statistically significant（P〈0.05）. Conclusion The modified small incision surgery for thyroid adenoma has the advantages of good effect,less complications,small incision,good prognosis and so on,which reduces the risk of recurrence and is worthy of popularization.