低位小切口切除术治疗甲状腺瘤的方法及临床预后分析  

Low-small incision resection for thyroid tumor and clinical prognosis

作　　者：肖锡岗[1] 黄兴伟[1] 彭云[1] Xiao Xigang;Huang Xingwei;Peng Yun(Department of Thyroid Breast Surgery,Ganzhou People's Hospital,Ganzhou,Jiangxi,341000,China)

机构地区：[1]赣州市人民医院甲状腺乳腺外科,江西赣州341000

出　　处：《当代医学》2020年第25期57-59,共3页Contemporary Medicine

摘　　要：目的探究低位小切口切除术治疗甲状腺瘤的效果及安全性。方法选取2014年1月至2016年12月本院收治的80例甲状腺瘤患者作为研究对象,按照手术方式不同分为A组(n=32)和B组(n=48)。A组患者采取传统手术治疗,B组患者采取低位小切口切除术治疗,比较两组手术情况、术后不同时间疼痛情况以及并发症发生率。结果B组患者手术时间、术中出血量、48 h引流量等手术指标均显著优于A组(P<0.05);B组患者术后6、24 h疼痛评分低于A组(P<0.05);随访6个月,B组术后并发症发生率低于A组,差异有统计学意义(P<0.05)。结论采用低位小切口切除术治疗甲状腺瘤临床效果显著,术后恢复快,并发症少,值得临床推广。Objective To analyze the efficacy and safety of low-level small incision in the treatment of thyroid tumors.Methods 80 patients with thyroid tumors admitted to our department from January 2014 to December 2016 were selected as study subjects.They were divided into group A(n=32)and group B(n=48)according to the patient's surgical procedure.Group A underwent conventional surgery and group B underwent low-level small incision resection,the pain at different times after surgery,and the incidence of complications were compared between two groups.Results The operation time,intraoperative blood loss,and 48 h drainage volume of group B were significantly better than those of group A(P<0.05).The pain scores of group B was lower than those of group A at 6 hours and 24 hours after operation(P<0.05).After 6 months of follow-up,the incidence of postoperative complications in group B was lower than that in group A,and the difference was significant(P<0.05).Conclusion The low-grade small incision resection in the clinical treatment of thyroid tumor is effective,with quick recovery and less complications.It is worth of promotion.

关 键 词：甲状腺瘤 低位小切口切除术 手术时间 疼痛评分 

分 类 号：R736.1[医药卫生—肿瘤]