改进的甲状腺肿瘤微创腺叶切除术与常规手术对比分析  

The Thyroid Gland Tumor Improved Minimally Invasive Surgical Resection of the Leaf and Conventional Contrast Analysis

作　　者：严景辉[1] 韦文[1] 邹凤[1] 

机构地区：[1]广东省惠州市第三人民医院耳鼻喉科,惠州516002

出　　处：《中国医药导刊》2013年第2期272-273,共2页Chinese Journal of Medicinal Guide

摘　　要：目的：比较改良小切口手术与传统甲状腺切除术治疗甲状腺瘤的临床疗效。方法：回顾性分析我院2008年6月~2011年12月收治入院的甲状腺腺叶切除术患者100例临床资料,随机将100例患者分入对照组与观察组,50例对照组患者接受传统甲状腺切除术治疗,50例观察组患者进行改良小切口手术,比较两组治疗效果。结果：观察组术后疼痛评分为（4.6±1.4）,显著高于对照组（0.5±1.3）（P〈0.05）;观察组术中失血为（18.4±10.0）ml,显著小于对照组（23.7±9.5）ml（P〈0.05）;观察组住院时间为（2.2±1.0）d,显著少于对照组（6.1±3.3）d（P〈0.05）;观察组并发症发生率为0,显著少于对照组8.0%（P〈0.05）。结论：相对于传统甲状腺切除术,改良小切口手术治疗疗效确切,对患者损伤小,伤口美观,是治疗甲状腺瘤的理想手术方法。Objective：To compare the small incision operation and improvement of traditional thyroid for treatment of thyroid tumor clinical curative effect.Methods：Retrospective analysis in June 2008-December 2011 thyroid gland leaves the hospital treated patients underwent 100 cases clinical material,random 100 cases were points into the control group and the observation group,50 control patients to receive the traditional thyroid for treatment,50 cases observation groups of patients improved small incision operation,compare two sets of therapeutic effect.Results：The observation group postoperative pain score of（4.6±1.4）,significantly higher than those in the control group（0.5±1.3）（P0.05）;The observation group intraoperatie blood loss for（18.4±10.0）ml,significantly less than the control group（23.7±9.5）ml（P0.05）;The observation group hospital stay was（2.2±1.0）d,significantly less than the control group（6.1±3.3） d（P0.05）;The observation group complications of 0,significantly less than 8.0% of the control group（P0.05）.Conclusion：Compared with the traditional thyroid resection,and small incision surgical treatment improved definite effect,the patients a little injury,the wound and beautiful,is the treatment of thyroid tumor surgery ideal method.

关 键 词：甲状腺瘤 小切口手术 甲状腺切除术 

分 类 号：R736.1[医药卫生—肿瘤]