改良Miccoli术式治疗甲状腺乳头状癌的临床疗效观察

Clinical Observation of modified Miccoli Technique in the treatment of papillary Thyroid Carcinoma

目的探讨改良Miccoli术用于治疗甲状腺乳头状癌的临床疗效。方法回顾性分析2016年6月—2019年6月期间东营市垦利区第二人民医院普外科收治的100例甲状腺乳头状癌的患者资料。按照随机数字表法将其进行分组,就采用传统手术治疗(对照组,n=50)与采用改良Miccoli术式治疗(观察组,n=50)手术恢复指标、并发症发生率展开对比。结果观察组切口长度短于对照组,术中出血量少于对照组,差异显著(P<0.05);观察组手术时间短于对照组(P<0.05);两组淋巴结清扫数量、术后住院时间比较无显著差异(P>0.05);两组术后并发症发生率比较无显著差异(P>0.05)。结论甲状腺乳头状癌采用改良Miccoli术式治疗,相较传统术式可减轻创伤程度;发挥美容作用;减少术中出血量。在未使并发症增加的情况下,发挥与传统手术一致的淋巴结清扫效果。

Objective To explore the clinical efficacy of modified Miccoli operation for papillary thyroid cancer.Methods The data of 100 patients with papillary thyroid carcinoma admitted to general surgery department of Kenli district second people’s hospital in Dongying from June 2016 to June 2019 were analyzed retrospectively.According to the method of random number table,the patients were divided into two groups:the control group(N=50)and the modified Miccoli group(N=50),The recovery index and complication rate of operation were compared.Results The observation group incision length shorter than the control group,intraoperative bleeding less than the control group,the difference was significant(P<0.05),the observation group operation time shorter than the control group(P<0.05);There was no significant difference in the number of lymph node dissection and the length of hospital stay between the two groups(P>0.05),and no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion The modified Miccoli operation for papillary thyroid carcinoma can reduce the degree of trauma,play a cosmetic role and reduce intraoperative bleeding.In the case of no increase in complications,play with the traditional operation consistent with the lymph node clearance effect.