不同手术方式治疗甲状腺微小癌的临床效果观察

The clinical effect of different surgical methods in treating thyroid microcarcinoma

目的观察甲状腺微小癌患者应用不同手术方式治疗的临床效果。方法分析佛山市第一人民医院于2016年4月至2017年5月收治的甲状腺微小癌92例患者资料,按照不同手术治疗方式分成两组,传统开放术治疗46例患者作为对照组,腔镜辅助术治疗46例患者作为观察组,比较两组术中出血量、术后引流量等综合指标和各项时间指标。结果观察组术中出血量和术后引流量均比对照组少,淋巴结清除数比对照组多,且手术、拔管和住院时间均比对照组短(P<0.05)。结论甲状腺微小癌患者应用腔镜辅助术治疗效果显著,具较高推广价值。

Objective To observe the clinical effect of different surgical methods in patients with thyroid microcarcinoma.Methods The data of 92 patients with thyroid microcarcinoma were admitted from April 2016 to May 2017 in our hospital.The patients were divided into two groups which according to different operation methods.The 46 patients underwent traditional open surgery as control group,and other 46 patients with adjuvant therapy as the observation group,then compared the blood loss,drainage and other comprehensive indicators and time indicators between two groups.Results The intraoperative blood loss and postoperative drainage in the observation group were less than those in the control group.The number of lymph node clearance in the observation group was bigger than that in the control group.The operation,extubation and hospital stay were shorter than those in the control group(P<0.05).Conclusion The treatment of thyroid microcarcinoma with endoscopy assisted surgery has a signifi cant effect,which with a high promotional value.