锁骨上斜切口改良Miccoli手术治疗甲状腺微小乳头状癌效果分析  

Analysis of the effect of modified Miccoli surgery through supraclavicular oblique incision in the treatment of microscopic papillary carcinoma of thyroid

作　　者：刘小瑜[1] 苏子剑[1] 王聪仁[1] 潘群雄[1] 曾志雄[1] 李明珠 蔡志兵 许雅萍 LIU Xiao-yu;SU Zi-jian;WANG Cong-ren(N4 tumor surgery,Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou 362002,China)

机构地区：[1]福建医科大学附属泉州第一医院N4区肿瘤外科,福建泉州362002

出　　处：《吉林医学》2020年第11期2610-2612,共3页Jilin Medical Journal

基　　金：福建省自然科学基金项目[项目编号:2018J01198]。

摘　　要：目的:探讨锁骨上斜切口改良Miccoli手术与传统甲状腺手术治疗甲状腺癌的临床效果。方法:选取我院收治的甲状腺微小乳头状癌患者80例,按随机分配分为两组。观察组(A组)40例采用锁骨上斜切口改良Miccoli手术,对照组(B组)40例采用传统甲状腺手术。结果:与B组相比,A组手术时间短、术中出血量及术后引流量较少,美容满意度高,差异具有统计学意义(P<0.05)。结论:锁骨上斜切口改良Miccoli手术治疗甲状腺微小乳头状癌可减轻对机体的损伤,安全性高,效果显著,提升患者术后美观满意度,值得临床推广应用。Objective To investigate the clinical effect of modified Miccoli through supraclavicular oblique incision and traditional thyroid surgery in the treatment of thyroid cancer.Method 80 patients with thyroid micropapillary carcinoma admitted to our hospital were selected and randomly divided into two groups.In the observation group(group A),40 patients received modified Miccoli surgery through supraclavicular oblique incision.While in the control group(group B),40 patients received traditional thyroid surgery.Results Compared with the group B,the group A had shorter operation time,less intraoperative blood loss and postoperative drainage,and high aesthetic satisfaction,with statistically significant differences(P<0.05).Conclusion The modified Miccoli surgery with supraclavicular oblique incision for the treatment of thyroid micropapillary carcinoma can reduce the damage to the body,with high safety and significant effect,and improve the postoperative aesthetic satisfaction of patients,which is worthy of clinical application.

关 键 词：锁骨上斜切口改良Miccoli手术 传统甲状腺手术 甲状腺癌 

分 类 号：R736.1[医药卫生—肿瘤]