小切口改良甲状腺切除术与传统甲状腺切除术的比较研究  

Comparative study of improved small incision thyroidectomy and traditional thyroidectomy

作　　者：马瑞斌[1] 柯颖[1] 张志刚[1] 杨钦清[1] 董芳[1] 

机构地区：[1]武警新疆总队医院肝胆外科,新疆乌鲁木齐830009

出　　处：《中国现代医生》2015年第1期132-134,共3页China Modern Doctor

摘　　要：目的对比分析小切口改良甲状腺切除术与传统甲状腺切除术的临床治疗效果及并发症情况。方法将我院2009年12月-2013年12月住院治疗的甲状腺腺瘤患者56例作为研究对象,所有患者颈部均可见可移动、边缘清楚的包块,无声音嘶哑和呼吸困难,均经B超确诊为甲状腺腺瘤。其中男21例,女35例,年龄最小31岁,最大42岁。其中26例行传统甲状腺切除术,设立为对照组,其余30例行改良甲状腺切除术,设立为治疗组,观察比较两组患者的平均手术时间、术中出血量、术后住院时间及并发症（切口感染、声音嘶哑、呼吸困难、低钙抽搐、切口粘连）。结果 56例患者术后均无死亡病例,治疗组30例患者的平均手术时间（86.2±21.7）min,明显短于对照组（P〈0.05）,术中出血量（20.4±6.2）m L,明显少于对照组（P〈0.05）,术后住院时间（3.2±0.8）d,明显短于对照组,差异具有统计学意义（P〈0.05）。两组患者平均手术时间、术中出血量、术后住院时间比较,差异具有统计学意义（P〈0.05）。随访结果显示,两组患者均顺利完成手术,治疗组无一例出现呼吸困难、切口粘连、低钙抽搐,其并发症发生率6.7%,对照组并发症发生率34.6%,两组术后并发症发生率比较,差异具有统计学意义（P〈0.05）。结论小切口改良甲状腺切除术较传统甲状腺切除术更具有手术时间短、出血少、住院时间短、术后并发症少等优点,值得广泛推广和应用。Objective To compare and analyze the clinical outcomes and complications of small incision modified thyroidectomy thyroidectomy with traditional. Methods In our hospital from December 2009 to December 2013,selected hospitalized patients with 56 cases of thyroid adenoma as research subjects, all patients were seen removable neck edge clear mass, no hoarseness and difficulty breathing were by B ultrasound diagnosis of thyroid adenoma. Male 21 cases, female 35 cases, age was the smallest 31 years old, the biggest 42 years old. Of which 26 cases conventional thyroidectomy, established as a control group, and the remaining 30 patients improved thyroidectomy, established for the treatment group, the mean operative time, blood loss, postoperative hospital stay and complications（wound infection, hoarseness, difficulty in breathing, convulsions hypocalcemia, cut adhesions） were observed and compared between two groups. Results 56 patients had no deaths, the average operative time of the treatment group of 30 patients was（86.2±21.7）min, significantly shorter than the control group, the difference was statistically significant（P〈0.05）,The blood loss was（20.4±6.2）m L,was significantly less than the control group, the difference was statistically significant（P〈0.05）. Postoperative hospital stay time of the treatment group（3.2±0.8）d was significantly shorter than the con trol group, the difference was statistically significant（P〈0.05）,the difference of the average operative time, blood loss,postoperative hospital stay time was statistically significant between two groups（P〈0.05）. Follow-up results showed that two groups of patients were successfully operated,the treatment group had no case of breathing difficulties,cut adhesions,hypocalcemia convulsions,its complication rate of 6.7%,complication rate in the control group was 34.6%,the difference of postoperative concurrent disease incidence was statistically significant between two groups（P 0.05）.Conclusion Improved small incision

关 键 词：小切口改良甲状腺切除术 传统甲状腺切除术 比较 并发症 

分 类 号：R736.1[医药卫生—肿瘤]