探讨低位小切口甲状腺手术治疗甲状腺良性结节患者的临床疗效

Exploration on the Clinical Effect of Low Small Incision Thyroid Surgery on Patients with Benign Thyroid Nodules

目的探析低位小切口甲状腺手术治疗甲状腺良性结节患者的临床疗效。方法方便选取2020年6月—2022年6月龙岩市中医院收治的甲状腺良性结节患者94例,以随机数表法分成对照组和研究组,各47例。对照组患者接受常规手术治疗,研究组患者接受低位小切口甲状腺手术治疗。比较两组患者围术期相关指标,手术前后的疼痛评分、血清炎症指标、反流症状指数,统计治疗后并发症的发生率。结果研究组手术时间(49.67±5.44)min、住院时间(6.02±1.17)d、切口长度(4.23±0.85)cm均短于对照组(64.96±6.37)min、(8.31±1.36)d、(6.96±1.54)cm,研究组术中出血量(10.67±1.44)mL与术后引流量(14.66±3.89)mL均少于对照组(20.92±2.06)、(21.47±5.97)mL,差异有统计学意义(t=12.514、8.751、10.640、27.958、6.552,P<0.05)。术后,两组疼痛指标、血清炎症指标较术前均升高,研究组升高程度更低,差异有统计学意义(P<0.05);两组反流症状指数评分较术前下降,且研究组低于对照组,差异有统计学意义(P<0.05)。结论对甲状腺良性结节患者进行低位小切口甲状腺手术治疗,手术、住院时间与切口长度更短,术中出血量与术后引流量更少,术后疼痛感减轻,血清炎症指标上升不显著,术后并发症发生率更低,效果理想。

Objective To explore the clinical effect of low small incision thyroid surgery on patients with benign thyroid nodules.Methods 94 patients with benign thyroid nodules admitted to Longyan Traditional Chinese Medicine Hospital from June 2020 to June 2022 were conveniently selected and randomly divided into a control group and a study group,with 47 patients in each group.The control group patients received routine surgical treatment,while the study group patients received low incision thyroid surgery.Compared the perioperative related indicators,pain indicators,serum inflammation indicators,and reflux symptom index before and after surgery between two groups of patients,and calculated the incidence of complications after treatment.Results The study group surgery time(49.67±5.44)minutes,hospital stay(6.02±1.17)d,and incision length(4.23±0.85)cm compared to the control group(64.96±6.37)minutes,(8.31±1.36)d and(6.96±1.54)cm were shorter,the study group intraoperative blood loss(10.67±1.44)mL and postoperative drainage(14.66±3.89)mL were less than those of the control group(20.92±2.06)mL and(21.47±5.97)mL,the difference was statistically significant(t=12.514,8.751,10.640,27.958,6.552,P<0.05).After surgery,the pain indicators and serum inflammation indicators in both groups increased compared to before surgery,with a lower degree of increase in the study group,the difference was statistically significant(P<0.05);the reflux symptom index scores of the two groups decreased compared to before surgery,and the study group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion In the treatment of patients with benign thyroid nodules with small low incision thyroid surgery,the operation,hospitalization time and incision length are shorter,the intraoperative blood loss and postoperative drainage are less,and the postoperative pain is relieved.The increase of serum inflammatory index is not significant,the incidence of postoperative complications is lower,and the effect is ideal.