改进手术方式在预防甲状腺术后切口粘连中的作用  

Effect of the improved operation in prevention of incision conglutination of thyroid

作　　者：许进[1] 刘勇[1] 黄晓蓉[1] 刘山[1] 

机构地区：[1]德阳市人民医院普外科,四川德阳618000

出　　处：《西部医学》2008年第5期971-972,共2页Medical Journal of West China

摘　　要：目的探讨手术方式的改进在降低甲状腺术后创面粘连发生率中的作用。方法将°肿大的单侧结节性甲状腺肿和甲状腺腺瘤86例,随机均分为2组,每组43例。传统手术方法组采用甲状腺外被膜完全横断,缝合切口时不缝合外被膜,在颈前肌群中上1/3水平全部横断颈前肌群,从切口正中引出引流管;改进手术方法组采用不横断甲状腺外被膜,并在缝合切口时予以缝合,在甲状软骨下缘水平部分横断颈前肌群,从切口下方皮肤另戳口引出引流管。两组患者都分别在术后2年内随访,以观察术后创面粘连发生情况。结果传统手术组术后有10例发生创面粘连,而改进手术组仅有4例,后者发生率较前者显著降低(χ2=2.773,P<0.05),显示两组间差异有显著性。结论术中重视对甲状腺外被膜的保护与缝合,同时改进颈前肌与切口引流的处理方法,能够显著降低术后创面粘连发生率。Objective To discuss the method of preventing operative incision conglutination of thyroid. Methods Eighty-six thyroid adonoma and nodular goiter patients were divided into two groups （43 cases each）, including group A and group B. Group A was operated with routine operation. In group B, the preventive methods of incision conglutination were applied, including with out cutting the thyroid capsule, and so on. The patients were followed up for 2 years. Results There were 10 and 4 patients appeared operative incision conglutination in group A and group B, respectively, which were significantly different form each other（P〈0. 05）. Conclusion method of preventing operative incision conglutination of thyroid can reduce the rate of operative incision conglutination of thyroid.

关 键 词：甲状腺 手术方法 切口粘连 

分 类 号：R581.3[医药卫生—内分泌]