改良Miccoli术治疗甲状腺良性病变的效果及学习曲线  

Clinical study of Learning curve in the modified Miccoli operation on benign thyroid disese

作　　者：马伟达[1] 唐俊[1] 徐鑫[1] 

机构地区：[1]南京中医药大学附属张家港市中医医院普外科,张家港215000

出　　处：《河南外科学杂志》2014年第5期14-15,共2页Henan Journal of Surgery

摘　　要：目的探讨改良Miccoli术治疗甲状腺良性病变的效果及学习曲线。方法对64例甲状腺良性病变患者行改良Miccoli术治疗,依据手术先后顺序分为A组(10例)、B组(10例)、C组(10例)、D组(10例)、E组(10例)、F组(14例)共六组,比较六组手术时间、术中出血量。统计手术时间达到稳定状态所需的手术例数。结果 C组、D组、E和F组的手术时间均短于A组、B组(P<0.01),六组间相邻二组术中出血量比较差异无统计学意义(P>0.05)。结论改良Miccoli术治疗甲状腺良性病变安全、微创,美容效果满意。学习曲线约为30例。Objective To explore the effect and learning curve of modified Miccoli operation on benign thyroid diseses. Methods Clinical data of 64 operative cases of benign thyroid diseases performed between May 2009 and March 2012 by a single doctor were reviewed , The patients were sequentially divided into six groups, which was group A（ 10 cases）, group B（ 10 cases）, group C（ 10 cases）, group D（ 10 ca- ses）, group E（ 10 cases）, group F （14 cases）. The operative time, blood loss were compared between the six groups , The number of cases that reaches a stable operation time was calculated. Results Time of operation in group C, D, E, F were shorter than that of group A and B, There were significant differences in operation time （ P 〈 0.05 ）. There were no significant differences between the 6 groups in blood loss （ P 〉 0.05 ）. Conclusion Modified Miccoli is a safe, fewer traumas operation as well as has a satisfied cosmetic effect on treating benign thyroid diseses. The learning curve is approximately 30 cases.

关 键 词：改良Miccoli术 甲状腺良性病变 学习曲线 

分 类 号：R653[医药卫生—外科学]