改良小切口甲状腺切除术对甲状腺结节患者疼痛及生活质量的影响探讨  

Effect of modified small incision thyroidectomy on pain and quality of life of patients with thyroid nodules

作　　者：梁健 罗明[1] 徐丹[1] LIANG Jian;LUO Ming;XU Dan(Third Department of Surgery,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400,China)

机构地区：[1]广东省中山市中医院外三科,528400

出　　处：《中国现代药物应用》2021年第21期63-65,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探究改良小切口甲状腺切除术对甲状腺结节患者疼痛及生活质量的影响。方法94例甲状腺结节患者,根据随机数字表法分为对照组和观察组,各47例。对照组采用传统切除术治疗,观察组采用改良小切口甲状腺切除术治疗。比较两组患者手术指标、术后疼痛情况、生活质量及并发症发生情况。结果观察组手术时间(86.35±19.54)min和住院时间(3.52±1.20)d均短于对照组的(108.56±25.74)min、(6.21±1.41)d,术中出血量(20.36±4.96)ml少于对照组的(34.12±6.85)ml,术后视觉模拟评分法(VAS)评分(2.11±0.40)分低于对照组的(4.53±0.49)分,差异有统计学意义(P<0.05)。观察组并发症发生率6.38%低于对照组的21.28%,差异有统计学意义(P<0.05)。治疗前,两组健康调查简表(SF-36)评分比较,差异无统计学意义(P>0.05);治疗后,两组SF-36评分均高于治疗前,且观察组SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论改良小切口甲状腺切除术治疗甲状腺结节效果良好,可减少创伤,减轻疼痛,更好地改善患者术后生活质量,应用价值更高。Objective To investigate the effect of modified small incision thyroidectomy on pain and quality of life of patients with thyroid nodules.Methods A total of 94 patients with thyroid nodules were divided into control group and observation group according to random numerical table,with 47 cases in each group.The control group was treated with traditional thyroidectomy,and the observation group was treated with modified small incision thyroidectomy.Both groups were compared in terms of surgical indicators,postoperative pain,quality of life and complications.Results The operation time(86.35±19.54)min and hospitalization time(3.52±1.20)d of the observation group were shorter than(108.56±25.74)min and(6.21±1.41)d of the control group,and the intraoperative blood loss(20.36±4.96)ml was less than(34.12±6.85)ml of the control group,and the postoperative visual analogue scale(VAS)score(2.11±0.40)points was lower than(4.53±0.49)points of the control group.All the differences were statistically significant(P<0.05).The complication rates 6.38%in the observation group was lower than 21.28%in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the 36-item short-form health survey(SF-36)score between the two groups(P>0.05).After treatment,the SF-36 scores of the two groups were higher than those of this group before treatment,and the SF-36 scores of the observation group were higher than those of the control group.All the differences were statistically significant(P<0.05).Conclusion Modified small incision thyroidectomy has good effects in the treatment of thyroid nodules,and it can reduce trauma,alleviate pain,better improve the postoperative quality of life of patients,which contains high application value.

关 键 词：甲状腺结节 传统切除术 改良小切口甲状腺切除术 疼痛 生活质量 

分 类 号：R653[医药卫生—外科学]