超声刀辅助小切口甲状腺手术治疗结节性甲状腺肿的效果分析  

Effect of ultrasonic scalpel assisted small incision thyroid surgery on nodular goiter

作　　者：黄永鸿[1] 潘小明[1] 羊涛 王慧玲[1] 吕勉[1] 徐昌强 HUANG Yonghong;PAN Xiaoming;YANG Tao;WANG Huiling;LV Mian;XU Changqiang(Breast and Thyroid Surgery,Nanning Second People＇s Hospital,Nanning 530000,China)

机构地区：[1]南宁市第二人民医院乳腺甲状腺外科,广西南宁530000

出　　处：《中国医药科学》2018年第20期216-218,共3页China Medicine And Pharmacy

摘　　要：目的研究探讨超声刀辅助小切口甲状腺手术治疗结节性甲状腺肿的效果。方法选择2014年1月～2017年12月本院结节性甲状腺肿患者1136例进行讨论,把所有患者随机分为两组,对照组558例,观察组678例,其中对照组采用传统的甲状腺手术进行治疗,观察组采取超声刀辅助小切口甲状腺手术治疗,观察两组患者的治疗效果。并发症的发生情况、疼痛情况。结果观察组患者的治疗效果要比对照组的好,患者的手术时间、切口大小、出血量等都比对照组的要少,并观察组发生并发症的发生率为7.81%,对照组为15.05%,发症的发生情况也比对照组的要低一些,两组比较,差异有统计学意义(P <0.05)。结论对于结节性甲状腺肿的患者,采取超声刀辅助小切口甲状腺手术进行治疗,可以帮助患者缓解疼痛,减少并发症的出现,促进预后,减少患者的住院时间、术中出血量等,值得在今后患者的治疗过程中应用。Objective To investigate the effect of ultrasound knife assisted small incision thyroid surgery in the treatment of nodular goiter. Methods A total of 1136 patients with nodular goiter in our hospital from January 2014 to December 2017 were selected for discussion. All patients were randomly divided into two groups, 558 in the control group and 678 in the observation group. The control group used traditional thyroid surgery . For the treatment, the observation group was treated with ultrasonic scalpel assisted small incision thyroid surgery, and the therapeutic effects of the two groups were observed. The occurrence of complications and pain. Results The treatment effect of the observation group was better than that of the control group. The operation time, incision size and blood loss were less than that of the control group, and the incidence of complications in the observation group was 7.81%, and that in the control group was 15.05%. The incidence of the onset was also lower than that of the control group. The difference between the two groups was statistically significant（P 〈 0.05）. Conclusion For patients with nodular goiter, ultrasonic scalpel assisted small incision thyroid surgery for treatment, can help patients relieve pain, reduce the occurrence of complications, promote prognosis, reduce the length of hospital stay. The amount of intraoperative bleeding is worthy to be used in the treatment of patients in the future.

关 键 词：超声刀 小切口 传统甲状腺手术 结节性甲状腺肿 

分 类 号：R653[医药卫生—外科学]