超声刀辅助低位小切口手术在甲状腺患者中的应用

Application of Ultrasound Knife Assisted Low Position Small Incision Surgery in Thyroid Patients

目的:探讨超声刀辅助低位小切口手术在治疗甲状腺患者中的应用效果。方法:抽取2020年1月~2022年8月94例在本院接受甲状腺切除的患者,遵循随机数字表法分为对照组(行传统甲状腺切除手术治疗)和观察组(行超声刀辅助低位小切口手术治疗),每组各47例。通过各项手术指标(术中出血量、术后引流量、手术用时、住院时间、术后切口长度)、生活质量(健康调查量表36评分)、预后情况(术后并发症发生率、复发率)进行比较分析。结果:治疗后,观察组的术中出血量、术后引流量均少于对照组,手术用时、住院时间、术后切口长度均短于对照组,差异显著(P<0.05);手术治疗后3个月,两组健康调查量表36评分均升高,且观察组(84.76±4.49)分高于对照组的(73.41±7.83)分,差异明显(P<0.05);观察组的术后并发症发生率、复发率(6.38%,2.13%)均低于对照组(21.28%,17.02%),差异明显(P<0.05)。结论:对甲状腺切除患者实施超声刀辅助低位小切口手术具有优越的术后康复效果和手术预后情况。

Objective:To explore the application effect of ultrasound knife assisted low position small incision surgery in the treatment of thyroid patients.Methods:94 patients who underwent thyroidectomy in our hospital were selected from January 2020 to August 2022.Following the random number table method,they were divided into two groups:the reference group(treated with traditional thyroidectomy)and the experimental group(treated with ultrasound knife assisted low incision surgery),with 47 people in each group.Comparative analysis was conducted on various surgical indicators(intraoperative bleeding volume,postoperative drainage volume,surgical duration,hospital stay,postoperative incision length),quality of life(SF-36 score),and prognosis(incidence of postoperative complications,recurrence rate).Results:After treatment,the intraoperative bleeding volume and postoperative drainage volume of the experimental group were lower than those of the reference group,and the surgical time,hospitalization time,and postoperative incision length were all shorter than those of the reference group,with significant differences(P<0.05);3 months after surgical treatment,the SF-36 scores of both groups increased,and the experimental group(84.76±4.49)points was higher than the reference group(73.41±7.83)points,with a significant difference(P<0.05);The incidence of postoperative complications and recurrence in the experimental group(6.38%,2.13%)were lower than those in the reference group(21.28%,17.02%),with significant differences(P<0.05).Conclusion:The implementation of ultrasound knife assisted low position small incision surgery for patients with thyroidectomy has superior postoperative rehabilitation effects and surgical prognosis.