改良小切口术式与传统术式治疗甲状腺良性肿瘤疗效分析

Comparative analysis of the curative effect of modified small incision surgery and traditional surgery for benign thyroid tumor

目的探讨改良小切口术式与传统术式治疗甲状腺良性肿瘤的临床效果。方法 90例甲状腺良性肿瘤患者象,按随机数字表法分为对照组(实施传统手术治疗)和观察组(实施改良小切口术治疗)各45例,观察两组手术时间、术中出血量、引流管留置时间、住院时间、围术期视觉模拟疼痛评分(VAS)、反流症状指数量表(RSI)评分、手术安全性,并随访术后1年甲状腺肿瘤复发率。结果观察组手术时间、住院时间、术中出血量、术后引流量少于对照组;术后6、12、24 h的VAS评分低于对照组(P<0.05)。术后3个月两组RSI评分明显降低,且观察组低于对照组(P<0.05);观察组术后并发症发生率低于对照组(P<0.05)。结论改良小切口术式在甲状腺良性肿瘤治疗中,在优化手术一般情况、减轻患者术中疼痛度、临床效果、手术安全性方面较传统术式更具优势。

Objective To explore the clinical effect of modified small incision surgery and traditional surgery in the treatment of benign thyroid tumor.Methods A total of 90 patients with benign thyroid tumors were divided into control group（ traditional surgical treatment） and observation group（ modified small incision surgery） by the blind and random number table method,45 cases in each group.The surgical time,intraoperative blood loss,indwelling time of drainage tube and length of hospital stay were observed.Changes in perioperative pain visual analogue scale（ VAS） score,reflux symptom index（ RSI） score and surgical safety were compared between the two groups.The recurrence rates of thyroid tumors in the two groups were followed up for 1 year.Results The surgical time,length of hospital stay,intraoperative blood loss and postoperative drainage volume in the observation group were significantly shorter or less than those in the control group（ P〈0. 05）.The VAS scores after 6 h,12 h and 24 h of surgery in the observation group were significantly lower than those of the control group（ P〈0. 05）.The RSI scores of the two groups were decreased significantly after 3 months of surgery,and the RSI score in the observation group was significantly lower than that of the control group（ P〈0. 05）.The incidence of postoperative complications in the observation group was lower than that in the control group（ P〈0. 05）.Conclusion The modified small incision surgery is superior to traditional surgery in terms of optimizing the general condition of surgery,reducing the pain.It has better clinical effect and surgical safety.