低位小切口与传统甲状腺手术治疗甲状腺良恶性结节患者的疗效对比研究

Comparative Study on the Curative Effect of Low-position Small Incision and Traditional Thyroid Surgery in the Treatment of Benign and Malignant Thyroid Nodules

目的对比低位小切口、传统甲状腺手术两种治疗方式在甲状腺良恶性结节患者的疗效。方法方便选取2015年1月—2019年1月该院收治的甲状腺良恶性结节患者2016例,其中良性1504例,恶性512例,按随机数字表法分为对照组(n=1008例,采取传统甲状腺手术治疗)和研究组(n=1008例,采取低位小切口手术治疗),比较两组患者手术切口长度、手术、住院时间,术中出血量,术后并发症及切口瘢痕美观满意度。结果研究组手术切口长度、手术时间、术中出血量、住院时间均低于对照组,差异有统计学意义(P<0.001);研究组术后并发症发生率为0.69%,低于对照组的5.56%,差异有统计学意义(χ^2=39.341,P<0.05);研究组术后切口瘢痕美观满意度为99.50%,高于对照组的81.85%,差异有统计学意义(χ^2=185.865,P<0.001)。结论在甲状腺良恶性结节患者的治疗过程当中,相较于传统甲状腺手术,低位小切口术式更具优势,术后恢复快、并发症少,满足患者对美观性的要求。

Objective To compare the curative effect of low-position small incision and traditional thyroid surgery in patients with benign and malignant thyroid nodules.Methods 2016 patients with benign and malignant thyroid nodules admitted to the hospital from January 2015 to January 2019 were selected,of which 1504 were benign and 512 were malignant,and were divided into a control group according to a random number table(n=1008 cases,using traditional thyroid surgery)and the study group(n=1008 cases,using low-position small incision surgery),comparing the length of surgical incision,operation,hospital stay,intraoperative blood loss,postoperative complications and incision scars aesthetic satisfaction between the two groups.Results The length of surgical incision,operation time,intraoperative blood loss,and hospital stay in the study group were lower than those in the control group,the difference was statistically significant(P<0.001);the postoperative complication rate in the study group was 0.69%,lower than 5.56%of the control group,the difference was statistically significant(χ^2=39.341,P<0.05);the postoperative incision scar aesthetic satisfaction of the study group was 99.50%,which was higher than 81.85%of the control group,the difference was statistically significant(χ^2=185.865,P<0.001).Conclusion In the treatment of patients with benign and malignant thyroid nodules,compared with traditional thyroid surgery,low-position small incision surgery has more advantages,with faster postoperative recovery and fewer complications,which meets the patient's aesthetic requirements.