单侧经胸锁乳突肌内侧缘小切口入路甲状腺手术的临床效果分析  

Analysis of the clinical effect of small incision in the thyroid surgery unilateral by sternocleidomastoid inside edge

作　　者：蔡和杰[1] 李智[1] 

机构地区：[1]厦门大学医院普通外科,福建厦门361005

出　　处：《中国当代医药》2017年第11期58-60,共3页China Modern Medicine

摘　　要：目的探讨单侧经胸锁乳突肌内侧缘小切口入路甲状腺手术的临床效果。方法选择2013年1月~2016年1月厦门大学医院收治入院的行甲状腺手术患者100例作为研究对象,按随机数字表法分为观察组和对照组,每组50例。观察组采用单侧经胸锁乳突肌内侧缘小切口入路的手术方式,对照组采用颈白线正中入路的手术方式。观察两组患者手术总时间、显露甲状腺时间、术中出血量、住院时间、切口长度,记录两组患者术后并发症,并进行统计学分析。结果观察组患者手术总时间、显露甲状腺时间、术中出血量、住院时间、切口长度等指标均明显优于对照组,差异均有统计学意义(P<0.05);观察组患者术后出现并发症3例,发生率为6.0%,对照组患者术后出现并发症18例,发生率为36.0%,观察组患者并发症发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论在甲状腺患者行手术时采用单侧经胸锁乳突肌内侧缘小切口入路可以获得更为清晰的解剖层次,有利于减少手术损伤,对提高患者的治疗效果具有重要的意义。Objective To study the unilateral by sternocleidomastoid inside edge the clinical effect of small incision in the thyroid surgery.Methods 100 patients with thyroid surgery from January 2013 to January 2016 in Xiamen Univer- sity Hospital were selected as the research object,according to random number table method they were divided into ob- servation group and control group,50 cases in each group.Patients of the observation group were given the unilateral sternocleidomastoid inside edge small incision in the way of operation,and the control group was given the operation with the center of the white line into the neck surgery way.The total time,expose thyroid time,intraoperative blood loss, hospitalization time,incision length of patients in two groups were observed,postoperative complications of patients in the two groups were recorded and statistical analyzed.Results The total time of operation,time of revealing thyroid,intra- operative blood loss,hospital stay,incision length of the observation group were significantly better than the control group,the differences were statistically significant （P〈0.05）;3 patients with postoperative complications of the observa- tion group,arid the incidence was 6.0%;while 18 patients with postoperative complications in the control group,and the incidence was 36.0% ,the the incidence of postoperative complications in the observation group was significantly lower than the control group,the difference was statistically significant （P〈0.05）.Conclusion Thyroid surgery with unilateral sternocleidomastoid inside edge small incision approach can get more clear anatomical level,is conducive to reducing surgical injury,has the vital signifi,eance to improve the treatment effect of patients.

关 键 词：甲状腺 单侧 胸锁乳突肌 内侧缘 小切口 

分 类 号：R739.9[医药卫生—肿瘤]