改进甲状腺肿瘤微创腺叶切除术与常规手术的临床效果比较分析  

Clinical Analysis of Improving Minimally Invasive Lobectomy and Conventional Surgery for Thyroid Tumor

作　　者：朱肇峰[1] 陈伟雄[1] 张剑利[1] 曾宪平[1] 汤苏成[1] 李增宏 ZHU Zhao-feng;CHEN Wei-xiong;ZHANG Jian-li(The First People’s Hospital of Foshan City,Foshan,Guangdong,528000,China)

机构地区：[1]佛山市第一人民医院

出　　处：《黑龙江医学》2019年第10期1165-1166,共2页Heilongjiang Medical Journal

摘　　要：目的常规手术与改进甲状腺肿瘤微创腺叶切除术的临床效果。方法采集佛山市第一人民医院于2018年1月—2019年1月收治的80例甲状腺肿瘤患者临床资料,按手术方案不同分为两组,每组各40例。对照组行传统甲状腺切除术,观察组改进甲状腺肿瘤微创腺叶切除术,比较两组手术情况、术后并发症情况。结果观察组出血量(18.09±10.34)ml、术后引流量(26.45±7.45)ml较对照组均少,切口长度(1.87±0.23)cm较对照组小,疼痛评分(3.34±1.02)分较对照组低,住院时间(3.45±1.01)d较对照组短(P<0.05)。观察组术后并发症发生率较对照组低(P<0.05)。结论改进甲状腺肿瘤微创腺叶切除术的效果更佳,能减少术中出血量,减轻术后疼痛,且术后并发症少,恢复快。Objective To analyze the clinical effect of conventional surgery and improved minimally invasive lobectomy of thy roid tumors.Methods The clinical data of 80 patients with thyroid tumors of the hospital were collected from January,2018 to Janu ary,2019.According to different surgical procedures,the patients were divided into two groups,with 40 cases in each group.The control group were treated with traditional thyroidectomy.The observation group were treated with improved minimally invasive thyroid tumor glandectomy.The surgical conditions and postoperative complications between the two groups were compared.Results The amount of bleeding in the observation group(18.09±10.34)ml and the postoperative drainage volume(26.45±7.45)ml were less than those in the control group.The length of the incision(1.87±0.23)cm was smaller than that of the control group.The pain score(3.34±1.02)points was lower than that of the control group,and the hospital stay(3.45±1.01)d was shorter than the control group(P<0.05).The postoperative complication rate in the observation group was lower than in the control group(P<0.05).Conclusion The im provement of thyroid tumor with minimally invasive lobectomy was better,which could reduce the amount of intraoperative blood loss,reduce postoperative pain,and have fewer postoperative complications and quick recovery.

关 键 词：甲状腺肿瘤 甲状腺切除术 改进甲状腺肿瘤微创腺叶切除术 并发症 

分 类 号：R736.1[医药卫生—肿瘤]