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临床对比

Clinical Comparison Between Low Incision and Traditional Thyroid Surgery for Patients with Benign and Malignant Thyroid Nodules

目的对比临床治疗甲状腺良恶性结节疾病采用传统甲状腺手术与低位小切口手术的效果。方法选取2020年1月—2023年7月沭阳中兴医院收治的60例甲状腺良恶性结节患者,以随机数字法分为对照组和观察组,每组30例。对照组采用传统甲状腺手术治疗,观察组采用低位小切口手术治疗,分别记录两组患者围术期相关指标,进行组间对比。评估两组患者术后不同时间疼痛程度。观察两组患者术后并发症具体情况,统计比较总发生率。调查两组患者术后对切口的美观程度满意情况,对比两组患者的满意度。结果观察组患者术中出血量相比于对照组明显偏低,且手术时间、住院时间也相对更短,组间差异有统计学意义(P<0.05)。术后观察组患者2h、12h及24h疼痛评估得分均低于对照组,组间差异有统计学意义(P<0.05)。同时观察组患者术后出现并发症的总概率低于对照组,患者对切口美观程度的总满意度高于对照组,组间差异有统计学意义(P<0.05)。结论临床治疗甲状腺良恶性结节疾病可首选低位小切口术式,相比传统甲状腺手术切口更小,术后患者恢复更快,并发症少,同时切口美观,患者满意度高,值得推广。

Objective To compare effect of traditional thyroid surgery and low incision surgery in clinical treatment of benign and malignant thyroid nodule diseases.Methods The paper chose 60 patients with benign and malignant thyroid nodules in Shuyang Zhongxing Hospital from January 2020 to July 2023,and divided them into groups randomly.Control group(30 cases)was treated with traditional thyroid surgery treatment,and observation group(30 cases)with low position small incision surgery.Perioperative related indicators were recorded and compared between two groups separately,postoperative pain degree was evaluated between two groups at different times.Specific postoperative complications incidence was observed and compared between two groups.Satisfaction degree was investigated and compared with aesthetic degree of incision after surgery between two groups.Results Intraoperative bleeding volume of observation group was significantly lower than control group,surgery time and hospital stay was relatively shorter(P<0.05).Postoperative pain assessment scores of observation group at 2 hours,12 hours,and 24 hours were lower than control group(P<0.05).Total incidence of postoperative complications in observation group was lower than control group,overall satisfaction degree with incision aesthetics was higher than control group(P<0.05).Conclusion Low position small incision surgery is the preferred method in clinical treatment of benign and malignant thyroid nodule diseases,with smaller incision,faster postoperative recovery,fewer complications than traditional thyroid surgery,with beautiful incision and high satisfaction degree,which is worth promoting.