经胸锁乳突肌肌间入路及经颈白线入路手术治疗单侧甲状腺结节的效果比较  

Comparison of the effect of sternocleidomastoid muscle intermuscular approach and neck white thread approach in the treatment of unilateral thyroid nodule

作　　者：蔡保中 CAI Baozhong(Department of General Surgery,Xinhua Hospital of Xinhua Medical Group,Anhui Province,Huainan232052,China)

机构地区：[1]新华医疗集团新华医院普外科,安徽淮南232052

出　　处：《中国医药导报》2021年第9期73-75,85,共4页China Medical Herald

摘　　要：目的探讨经胸锁乳突肌肌间入路及颈白线入路手术治疗单侧甲状腺结节的效果。方法选取2018年6月—2020年4月新华医疗集团新华医院收治的80例单侧甲状腺结节患者为研究对象,按手术方式将其分为观察组和对照组,每组40例。对照组给予经颈白线入路术治疗,观察组给予经胸锁乳突肌肌间入路术治疗。比较两组手术情况,两组术后3个月的疼痛评分及并发症的发生率。结果两组手术及住院时间、术中出血量比较,差异无统计学意义(P>0.05);观察组切口长度短于对照组,差异有高度统计学意义(P<0.01)。观察组疼痛评分低于对照组,差异有高度统计学意义(P<0.01)。观察组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论经胸锁乳突肌肌间入路不会增加手术风险、延长住院时间,且能减轻患者的疼痛,在患者颈前区功能保护方面有明显优势,并发症少,值得临床推广使用。Objective To investigate the effect of sternocleidomastoid muscle intermuscular approach and neck white thread approach in the treatment of unilateral thyroid nodules.Methods Eighty patients with unilateral thyroid nodule who admitted to Xinhua Hospital of Xinhua Medical Group from June 2018 to April 2020 were selected as study objects.They were divided into observation group and control group according to the operation method,with 40 cases in each group.Control group was given the treatment through neck white thread approach,and observation group was given the treatment through sternocleidomastoid muscle intermuscular approach.The operation conditions were compared between the two groups,and the pain scores and incidence of complication three months after operation were compared between the two groups.Results There were no statistically significant differences in operation time,hospital stay and intraoperative blood loss between two groups(P>0.05);the incision length of observation group was shorter than that of control group,and the difference was highly statistically significant(P<0.01).The pain score of observation group was lower than that of control group,and the difference was highly statistically significant(P<0.01).The total incidence of postoperative complications in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Sternocleidomastoid muscle intermuscular approach does not increase the risk of surgery and prolong the hospital stay,and it can reduce the patient’s pain.It has obvious advantages in protecting the function of the anterior neck area of patients,fewer complications,which is worthy of clinical promotion.

关 键 词：单侧甲状腺结节 胸锁乳突肌肌间入路 颈白线入路 切口长度 术后疼痛 

分 类 号：R653[医药卫生—外科学]