低位小弧形切口应用于甲状腺微小乳头状癌的效果分析

目的比较低位小弧形切口术式与传统术式治疗甲状腺微小乳头状癌的效果方法选取2017年6月至2019年6月甲状腺微小乳头状癌82例,按照随机数字表法将患者分为观察组(低位小弧形切口)与对照组(传统术式),各41例,比较两组围术期指标及术后并发症等。结果观察组患者手术时间、术中出血量、住院时间、术后引流量少于对照组(P<0.05);术后6 h、12 h、24 h的VAS评分低于对照组(P<0.05),术后并发症与对照组比较差异无统计学意义(P>0.05)。结论低位小弧形切口术式应用于甲状腺微小乳头癌,创伤小,术后恢复快,外观效果比传统术式更具优势,值得临床推广应用。

Objective To study the clinical effect of minimally invasive low-collar incision surgery and traditional surgery for papillary thyroid microcarcinoma.Methods There were 82 cases of papillary thyroid microcarcinoma patients in our hospital from June 2017 to June 2019,randomly divided into control group and observation group,with 41 cases in each group.The operative and postoperative indexes were compared between the two surgery groups.Results The surgical time,intraoperative blood loss,length of hospital stay,postoperative drainage volume in the observation group were less than those in the control group;the VAS scores after 6 h,12 h and 24 h after surgery in the observation group was significantly lower than those in the control group(P<0.05).However,the incidence of postoperative complication had no significant difference between control group and observation group(P>0.05).Conclusion Minimally invasive low-collar incision surgery can improve the operation treatment effect of papillary thyroid microcarcinoma,reduce surgical trauma and complications,offer higher cosmetic satisfaction,which is worthy of clinical promotion and application.