小切口手术治疗甲状腺瘤的临床体会

Clinical Experience of Small Incision in the Treatment of Thyroid

目的探讨和观察小切口手术治疗单纯性甲状腺瘤的临床疗效和美容效果。方法回顾性分析本院2012年1月至2016年12月收治的采用小切口治疗甲状腺腺瘤患者56例,对切口长度、手术时间、出血量,住院时间进行分析。结果手术全部获得成功,术中出血50-150m L,平均(85±25)m L;手术时间45-90min,平均(75.0±14.5)min。治疗随访期间患者均未发现存在切口血肿、声音嘶哑以及呛咳等相关并发症,术后第二天将引流管拔出,经检验提示切口属于一期愈合,平均住院时间5.8d。术后3月到1年回访,切口愈合无明显瘢痕,未复发,无明显并发症。结论改良小切口治疗甲状腺腺瘤疗效确切、对患者损伤小、切口美观,是治疗甲状腺腺瘤的理想手术方法 ,在基础医院适宜。

Objective To discuss and observe the clinical efficacy and cosmetic effect of small incision in the treatment of simple thyroid tumors. Methods Retrospective analysis of the incision length, operation time, bleeding volume and hospitalization time of 56 patients with thyroid adenoma treated by small incision in our hospital from January 2012 to December 2016 were analyzed retrospectively. Results All the operations were successful, and the intraoperative bleeding was 50-150 mL, with an average of(85±25) mL. The operation time 45-90 min, with an average of(75.0±14.5) min. No hoarseness, incision hematoma, eating cough and other complications, are two days after surgery out of drainage tube, incision are a healing, The average length of stay was 5.8 days.Postoperative 3 months to 1 year visit, incision without significant scar, no recurrence, no obvious complications. Conclusion The modified small incision treatment of thyroid adenoma is effective and has little damage to the patient. Incision is beautiful, is the ideal surgical treatment of thyroid adenoma. In the basic hospital suitable for promotion.