低位小切口甲状腺手术治疗甲状腺良性结节患者疗效探讨  

Effect of Low Incision Thyroid Surgery on Benign Thyroid Nodules

作　　者：徐良[1] XU Liang(Department of General Surgery,the Second People’s Hospital of Lianyungang,Lianyungang,Jiangsu Province,222023 China)

机构地区：[1]江苏省连云港市第二人民医院普外科,江苏连云港222023

出　　处：《中外医疗》2018年第3期63-64,67,共3页China & Foreign Medical Treatment

摘　　要：目的探讨良性甲状腺结节展开甲状腺手术时低位小切口的应用效果。方法随机把方便选取100例发生良性甲状腺结节于2015年7月—2017年7月在该院接受甲状腺手术治疗的患者分成两组,50例以常规切口展开手术为一般组,50例以低位小切口展开手术为低位组,对比两组效果。结果低位组手术用时(68.87±5.12)min,与一般组的(67.34±4.73)min对比差异无统计学意义(P>0.05);低位组出血(45.28±5.29)m L,切口(4.3±1.10)cm,住院(5.2±1.30)d,分别与一般组的出血(89.62±2.47)m L、切口(7.5±1.30)cm、住院(8.3±1.10)d对比较少(P<0.05);低位组6.00%出现并发症,对照于一般组的22.00%较低(P<0.05)。结论对良性的甲状腺结节患者展开甲状腺手术时,采用低位小切口对患者造成的创伤更小,且切口小,不仅可实现良好、安全的治疗效果,而且可使患者对颈部美观度的要求得到满足。Objective This paper tries to investigate the effect of benign thyroid nodules in the low-post incision in thyroid surgery.Methods Convenient selection 100 cases of benign thyroid nodules from July 2015 to July 2017 in this hospital undergoing thyroid surgery were divided into two groups,50 cases with conventional open surgery incision as a regular group,50 cases of small incision open surgery as the low post group,compared two groups of results.Results The operation time of the low post group was(68.87±5.12)min,compared with the regular group(67.34±4.73)min,without significant difference(P>0.05);The lower post group of hemorrhage(45.28±5.29)mL,incision(4.3±1.10)cm,hospitalization stay(5.2±1.30)d,respectively,lower than the regular group of hemorrhage(89.62±2.47)mL,incision(7.5±1.30)cm,hospitalization(8.3±1.10)d(P<0.05);The complications of the low post group was 6.00%,compared with 22.00%in the regular group(P<0.05).Conclusion Open thyroid surgery in patients with benign thyroid nodules,with small incision for patients with less trauma,and small incision,not only can achieve good therapeutic effect,high safety effect,and can meet the aesthetic demands of the patients of cervical.

关 键 词：甲状腺良性结节 甲状腺手术 低位小切口 

分 类 号：R653[医药卫生—外科学]