改良Miccoli术式治疗甲状腺乳头状癌的临床疗效

Clinical Effect of modified Miccoli operation in treatment of papillary thyroid carcinoma

目的探讨改良Miccoli术式治疗甲状腺乳头状癌的临床疗效。方法选取2016年10月至2017年10月该科收治的甲状腺肿瘤患者为研究对象,将其中良性肿瘤患者50例设为对照组,乳头状癌患者50例设为观察组。观察并比较两组患者切口长度、手术时间、术中失血量、术后引流量、术后住院时间、并发症发生情况。结果两组患者手术时间、术后引流量、术后住院时间差异有统计学意义(P<0.05),切口长度、术中失血量差异无统计学意义(P>0.05)。两组患者术后暂时性喉返或喉上神经麻痹、甲状旁腺功能障碍发生率差异无统计学意义(P>0.05)。结论对于无侧颈区淋巴结转移的甲状腺乳头状癌患者采用改良Miccoli术式治疗,其兼具了美容与根治的效果,临床值得推荐。

Objective To investigate the clinical effect of modified Miccoli operation in the treatment of papillary thyroid carcinoma.Methods The patients with thyroid tumors admitted in the breast and thyriod surgery department of this hospital from October 2016 to October 2017 were selected,among them 50 cases of benign tumor were set as the control group and 50 cases of papillary thyroid carcinoma were set as the observation group.The incision length,operation time,intraoperative bleeding volume,postoperation drainage volume,postoperative hospitalization duration and complications were observed and compared between the two groups.Results There were statistically significant difference in the operative time,postoperative drainage volume and postoperative hospitalization duration between the two groups(P<0.05).There were no difference in incision length and intraoperative bleeding volume(P>0.05).The occurrence rates of postoperative temporary recurrent laryngeal or superior laryngeal nerve paralysis,parathyroid dysfunction had no statistically significant difference between the two groups(P>0.05).Conclusion Modified Miccoli operation for treating papillary thyroid carcinoma without lateral cervical lymph node metastasis has the effects of both beauty and radical treatment,and is worthy of clinical recommendation.