甲状腺手术中精细化被膜解剖法的应用

Application of Meticulous Capsular Dissection in Thyroid Surgery

目的分析精细化被膜解剖法应用于甲状腺手术的效果。方法选取2016年4月至2018年3月本院收治的107例接受甲状腺切除术治疗的甲状腺疾病患者为研究对象。依据术式分为对照组(常规甲状腺切除术,44例)和观察组(精细化被膜解剖法甲状腺切除术,63例),对比两组治疗效果。结果观察组手术时间、住院时间[(84.86±11.08)min、(6.86±1.27)d],显著短于对照组[(109.75±14.65)min、(9.84±1.65)d,P <0.05];观察组术中出血量为(53.79±10.28)mL,显著少于对照组[(77.15±12.96)mL,P <0.05];观察组出院前1 d血清钙水平为(2.51±0.60)mmol/L,显著高于对照组[(1.76±0.27)mmol/L,P <0.05]。观察组并发症发生率为1.59%,显著低于对照组(15.91%,P <0.05)。结论精细化被膜解剖法用于甲状腺手术,可减轻甲状腺疾病患者的手术创伤,降低其术后并发症发生率。

Objective To analyze the application of meticulous capsular dissection in thyroid surgery.Methods One hundred and seven patients with thyroid diseases who underwent thyroidectomy from April 2016 to March 2018 were selected as the subjects.According to the operation method,they were divided into control group(routine thyroidectomy,44 cases)and observation group(fine capsular dissection thyroidectomy,63 cases).Results The operation time and hospitalization time of the observation group(84.86±11.08 min,6.86±1.27 d)were shorter than those of the control group(109.75±14.65 min,9.84±1.65 d,all P<0.05].Intraoperative blood loss53.79±10.28 mL,significantly less than the control group((77.15±12.96)mL,P<0.05)The serum calcium level of the observation group(2.51±0.60 mmol/L)was higher than that of the control group(2.51±0.60 mmol/L,P<0.05)one day before discharge.The complication rate of the observation group was 1.59%,significantly less than that of the control group(15.91%,P<0.05).Conclusion Fine capsular dissection for thyroid surgery can reduce the surgical trauma of patients with thyroid diseases and reduce the incidence of postoperative complications.