锁骨下切口与低位小切口甲状腺手术临床效果比较  

A comparative study on the clinical effect of thyroidectomy with subclavicular incision and thyroidectomy with low small incision

作　　者：王玲[1] 王勇[1] 

机构地区：[1]襄阳市中心医院普外科,湖北襄阳441021

出　　处：《临床和实验医学杂志》2016年第3期248-250,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨锁骨下切口与低位小切口甲状腺手术临床效果差异。方法将80例甲状腺肿大患者随机分为A组和B组,每组40例。A组患者采用锁骨下切口甲状腺手术,B组患者采用低位小切口甲状腺手术。对比两组患者围手术期资料、并发症发生率和美容满意度。结果 A组患者术后疼痛水平显著低于B组(P<0.01),术中出血量、切口长度、手术时间和引流量无统计学差异(P>0.05)。A组患者术后1个月、2个月和3个月吞咽不适发生率显著低于B组患者(P<0.05)。两组患者口头叙述评分和数字评估量表评分无统计学差异(P>0.05)。结论与低位小切口手术比较,锁骨下切口甲状腺手术疼痛水平较低且术后吞咽不适发生率较低,具有临床应用价值。Objective To explore the difference in clinical effect between thyroidectomy with subclavicular incision or with low small incision. Methods A total of 80 patients with unilateral thyroid benign nodules were randomly divided into group A and group B,40 patients in each group. Patients in group A were treated by thyroidectomy with subclavicular incision and patients in group B were treated with thyroidectomy by low small incision. The perioperative data,rates of complications and satisfaction were compared between these two groups. Results The VAS scores in patients of group A were significantly less than those of patients in group B（ P〈0. 01）. There was no significant difference among volume of blood loss,incision length,operating time and volume of drainage between these two groups（ P〉0. 05）. The rates of dysphagia in 1 month,2month and 3 month after treatment in patients of group A were significantly less than those in patients of group B（ P〈0. 05）. There was no significant difference in satisfaction on cosmetic result between these two groups（ P〉0. 05）. Conclusion Thyroidectomy with subclavicular incision has the advantages of less pain,blood loss and complications,hence it is worthy to be recommended for clinical application.

关 键 词：甲状腺肿大 甲状腺手术 锁骨下切口 低位小切口 

分 类 号：R653[医药卫生—外科学]