甲状腺结节患者应用小切口甲状腺切除术治疗的临床疗效分析  

Clinical Efficacy Analysis of Patients with Thyroid Nodules Treated by Applying Small Incision Thyroidectomy

作　　者：杨萌[1] 王立峰[1] YANG Meng;WANG Lifeng(Department of General Surgery,Peixian People´s Hospital,Peixian,Jiangsu Province,221600 China)

机构地区：[1]沛县人民医院普外二科,江苏沛县221600

出　　处：《中外医疗》2023年第22期77-80,共4页China & Foreign Medical Treatment

摘　　要：目的分析甲状腺结节患者应用小切口甲状腺切除术治疗的临床效果。方法方便选取2020年2月—2022年11月沛县人民医院收治的62例甲状腺结节患者,以随机数表法为两组,各31例。对照组采取传统切除术,观察组采取小切口甲状腺切除术。对比两组患者的治疗效果、临床相关指标、疼痛指数、甲状腺功能指标及并发症情况。结果两组总有效率比较,差异无统计学意义(P>0.05)。观察组切口长度、术中出血量、手术时间及住院时间均优于对照组,差异有统计学意义(P<0.05)。观察组患者疼痛情况优于对照组,差异有统计学意义(P<0.05)。治疗后,观察组游离三碘甲状腺原氨酸、游离甲状腺素水平较对照组更低,促甲状腺素水平较对照组更高,差异有统计学意义(P<0.05)。观察组并发症发生率(6.45%)较对照组更低,差异有统计学意义(P<0.05)。结论小切口甲状腺切除术治疗甲状腺结节对患者的身体损害小,降低术中出血量,缩短住院时间,术后并发症少。Objective To analyze the clinical effect of small incision thyroidectomy in patients with thyroid nodules.Methods 62 patients with thyroid nodules admitted to Peixian County People´s Hospital from February 2020 to November 2022 were conveniently selected and divided into two groups using a random number table method,with 31 patients in each group.The control group underwent traditional thyroidectomy,while the observation group underwent small incision thyroidectomy.Compared the treatment efficacy,clinical related indicators,pain index,thyroid function indicators,and complications between the two groups of patients.Results There was no statistically significant difference in total effective rate between the two groups(P>0.05).The observation group had better incision length,intraoperative bleeding,surgical time,and hospital stay than the control group,the difference was statistically significant(P<0.05).The pain situation of the observation group patients was better than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the levels of free triiodothyronine and free thyroxine in the observation group were lower than those in the control group,and the level of thyrotropin was higher than that in the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group(6.45%)was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Small incision thyroidectomy for the treatment of thyroid nodules is less physically damaging to patients,reduces intraoperative bleeding,shortens hospitalization time,and has fewer postoperative complications.

关 键 词：甲状腺结节 小切口甲状腺切除术 临床效果 并发症 

分 类 号：R581[医药卫生—内分泌]