颈筋膜间隙平面分离法在甲状腺癌手术中的应用效果

Application effect of cervical fascial space plane separation in thyroid carcinoma surgery

目的探究颈筋膜间隙平面分离法在甲状腺癌手术中的应用效果。方法选取2010年1月~2017年12月我院收治的40例甲状腺癌患者作为对照组,另选取2018年1月~2019年1月我院收治的40例甲状腺癌患者作为观察组。对照组采取传统外科手术进行治疗,观察组采用颈筋膜间隙平面分离法进行手术治疗。比较两组患者的治疗效果。结果观察组患者的手术时间长于对照组,术中出血量少于对照组,清扫淋巴结数目多于对照组,差异均有统计学意义(P<0.05);观察组患者喉上神经损伤、喉返神经损伤发生率及复发率均低于对照组,差异有统计学意义(P<0.05)。结论颈筋膜间隙平面分离法作为新型治疗甲状腺癌的手术方法,不仅提高了手术的治疗效果,还降低了术后并发症发生率以及复发率,具有很好的临床应用价值。

Objective To explore the application value of the method of cervical fascial space separation in thyroid cancer surgery.Methods From January 2010 to December 2017,40 patients with thyroid cancer were selected as control group,and 40 patients with thyroid carcinoma from January 2018 to January 2019 were selected as observation group.The control group received the traditional surgical treatment,and the observation group used a surgical treatment plan for the separation of the cervical fascia gap.The therapeutic effects after treatment were compared between the two groups.Results The operative time of the patients in the observation group was longer than that in the control group,the amount of intraoperative bleeding was less than that in the control group,and the number of dissected lymph nodes was more than that in the control group,and the differences were statistically significant (P<0.05).The incidence of superior laryngeal nerve injury and recurrent laryngeal nerve injury and the recurrence rate in the observation group were lower than those in the control group,and the differences were statistically significant (P<0.05).Conclusion The method of cervical fascial space separation as a new surgical method for thyroid cancer not only improves the treatment effect of surgery,but also reduces the incidence of postoperative complications and recurrence rate,and has a good clinical application value.