改良小切口手术治疗微小甲状腺癌的近期效果及远期转归  

Short-term effect and long-term outcome of modified small incision surgery for mini-thyroid carcinoma

作　　者：王德康[1] 胡爱丽[1] 梁永锋 WANG De-kang;HU Ai-li;LIANG Yong-feng(Ankang Hospital of Traditional Chinese Medicine,Ankang 725000;the First Hospital of Hanbin District,Ankang 725000,China)

机构地区：[1]陕西省安康市中医医院,陕西安康725000 [2]安康市汉滨区第一医院,陕西安康725000

出　　处：《临床医学研究与实践》2018年第30期30-32,共3页Clinical Research and Practice

摘　　要：目的观察改良小切口手术治疗微小甲状腺癌的近期效果和远期转归。方法选取2014年10月至2016年2月收治的微小甲状腺癌患者90例为研究对象,将其随机分为对照组和观察组,各45例。对照组采用传统甲状腺切除术治疗,观察组采用改良小切口手术治疗。观察并比较两组的近期效果和远期转归。结果观察组的手术总有效率显著高于对照组(P<0.05);观察组的手术时间、术中出血量、住院时间以及切口长度均优于对照组(P<0.01);观察组的并发症总发生率低于对照组(P<0.01);术后6个月,两组SF-36评分均显著升高,且观察组高于对照组(P<0.01)。结论改良小切口手术能显著提高微小甲状腺癌的手术治疗效果,减少手术创伤以及并发症,缩短术后恢复时间,改善患者的生活质量,值得临床推广应用。Objective To study the short-term effect and long-term outcome of modified small incision surgery for minithyroid carcinoma. Methods A total of 90 cases of mini-thyroid carcinoma from October 2014 to February 2016 were selected as study objects and randomly divided into control group and observation group, with 45 cases in each group. The control group was given traditional thyroidectomy, the observation group was given modified small incision surgery. The short-term effects and long-term outcomes of the two groups were observed and compared. Results The total effective rate of surgery in the observation group was significantly higher than that in the control group（P〈 0.05）. The operation time,amount of intraoperative bleeding, hospitalization time and length of incision in the observation group were better than those in the control group（P〈 0.01）. The total incidence of complications in the observation group was lower than that in the control group（P〈 0.01）. At 6 months after operation, the SF-36 scores of the two groups significantly increased, and that in the observation group was higher than the control group（P〈 0.01）. Conclusion Modified small incision surgery can improve the operation treatment effect of mini-thyroid carcinoma, reduce surgical trauma and complications, shorten postoperative recovery time, improve the quality of life of patients, which is worthy of clinical promotion and application.

关 键 词：改良小切口手术 微小甲状腺癌 近期疗效 远期转归 

分 类 号：R736.1[医药卫生—肿瘤]