小切口甲状腺切除术与传统甲状腺切除术治疗甲状腺结节的临床效果比较  

Comparison of clinical effects of small incision thyroidectomy and traditional thyroidectomy in the treatment of thyroid nodules

作　　者：杨钦清[1] 董芳[2] 马瑞斌[3] 柯颖[4] 蒲志贤[5] 杨照玉 

机构地区：[1]武警新疆总队医院普外科,新疆乌鲁木齐830000 [2]武警新疆总队医院消化呼吸科,新疆乌鲁木齐830000 [3]武警新疆总队医院肝胆外科,新疆乌鲁木齐830000 [4]武警新疆总队医院神经外科,新疆乌鲁木齐830000 [5]武警新疆总队医院医务处,新疆乌鲁木齐830000 [6]武警新疆总队医院经济管理科,新疆乌鲁木齐830000

出　　处：《中国现代医生》2017年第14期44-46,共3页China Modern Doctor

摘　　要：目的评估及比较小切口甲状腺切除术与传统甲状腺切除术治疗甲状腺结节的临床效果。方法选取2015年1月~2016年1月于我院住院进行诊治的60例甲状腺结节患者,分为对照组30例和小切口组30例,对照组行传统甲状腺切除术,小切口组行小切口甲状腺切除术;统计并比较两组患者的手术时间、住院时间、切口长度及术中出血量等手术观察指标,并对比两组术后的并发症发生率。结果小切口组患者的手术时间为(41.5±11.6)min、术中出血量(42.3±12.5)mL,切口长度(4.61±1.13)cm,住院时间为(6.27±1.12)d,分别与对照组比较,小切口组患者的手术时间明显缩短,术中出血量明显减少,切口长度较小,住院时间明显缩短。两组上述各项手术观察指标比较,差异具有显著性(P<0.05)。小切口组的并发症发生率显著低于对照组,两组并发症发生率比较差异具有显著性(P<0.05)。结论小切口甲状腺切除术治疗甲状腺结节有较好的作用,较传统甲状腺切除术具有创伤小、切口小、术中出血少及并发症少等优势,值得广泛推广和应用。Objective To evaluate and compare the clinical effect of small incision thyroidectomy and traditional thy- roidectomy in the treatment of thyroid nodules. Methods 60 patients with thyroid nodules in our hospital from January 2015 to January 2016 were enrolled and divided into control group（n=30） and small incision group（n=30）. The control group received traditional thyroidectomy, and the small incision group was given small incision thyroidectomy. The sur- gical observation indicators including the operation time, hospitalization time, incision length and intraoperative blood loss were calculated and compared. And the incidence of complications was compared between the two groups. Results The operation time was（41.5＋ll.6） rain, the intraoperative blood loss was （42.3-＋12.5） mL, the incision length was（4.61-＋ 1.13） cm and the hospitalization time was （6.27＋1.12） d in the small incision group, the operation time of the patients in small incision group was shorter, the amount of bleeding was significantly reduced, the incision length was smaller and the hospitalization time was shorter compared with those in control group. The differences in the above indicators between the two groups were significant（P〈0.05）. The complication rate of the small incision group was significantly lower than that of the control group, and the difference was significant（P〈0.05）. Conclusion Small incision thyroideetomy has a good effect in the treatment of thyroid nodules. It has the advantages of less trauma, smaller incision, less intraoperative bleeding and fewer complications compare with traditional thyroidectomy, and is worthy to be widely popularized and applied.

关 键 词：甲状腺结节 小切口甲状腺切除术 传统甲状腺切除术 并发症 

分 类 号：R653[医药卫生—外科学]