低位小切口切除术治疗甲状腺瘤的疗效及安全性观察  

Observation on the efficacy and safety of low-level small incision resection in the treatment of thyroid tumor

作　　者：王贺 WANG He(Weishan County People's Hospital,Jining 277600,China)

机构地区：[1]山东省济宁市微山县人民医院,277600

出　　处：《中国实用医药》2024年第7期84-86,共3页China Practical Medicine

摘　　要：目的探讨在甲状腺瘤治疗中应用低位小切口切除术的疗效及安全性。方法50例甲状腺瘤患者,以入院时间不同分为观察组与对照组,各25例。对照组接受传统切除术治疗,观察组接受低位小切口切除术治疗。比较两组临床指标、并发症发生情况。结果观察组手术时间(65.78±5.79)min、住院时间(5.21±0.57)d短于对照组的(75.41±6.24)min、(7.11±1.05)d,术中出血量(15.17±5.62)ml少于对照组的(62.97±10.28)ml,手术切口(4.78±0.65)cm小于对照组的(6.82±1.53)cm,术后6、24 h视觉模拟评分法(VAS)评分(3.68±0.85)、(2.73±0.61)分低于对照组的(5.14±0.78)、(4.25±0.89)分(P<0.05)。观察组并发症发生率8.00%低于对照组的32.00%(P<0.05)。结论甲状腺瘤以低位小切口切除术作为手术方案,术中出血量及手术用时较短,可缩短患者术后恢复时间,同时还能降低术后疼痛感及并发症发生率,有着较高的安全性,适宜推广借鉴。Objective To explore the efficacy and safety of low-level small incision resection in the treatment of thyroid tumor.Methods 50 patients with thyroid tumor were divided into an observation group and a control group according to admission time,with 25 cases in each group.The control group received traditional resection,and the observation group received low-level small incision resection.The clinical indicators and complications of the two groups were compared.Results In the observation group,the operation time of(65.78±5.79)min and hospitalization time of(5.21±0.57)d were shorter than(75.41±6.24)min and(7.11±1.05)d in the control group;the intraoperative blood loss of(15.17±5.62)ml was less than(62.97±10.28)ml in the control group;the incision length of(4.78±0.65)cm was smaller than(6.82±1.53)cm in the control group;the visual analogue scale(VAS)scores were(3.68±0.85)and(2.73±0.61)points at 6 and 24 h postoperatively,which were lower than(5.14±0.78)and(4.25±0.89)points in the control group(P<0.05).The complication rate of the observation group was 8.00%,which was lower than 32.00%of the control group(P<0.05).Conclusion Taking low-level small incision resection as the surgical scheme can shorten the intraoperative blood loss,operation time,postoperative recovery time of patients,and also reduce the postoperative pain and incidence of complications,which has high safety and is suitable for popularization and reference.

关 键 词：甲状腺瘤 低位小切口切除术 临床指标 并发症 

分 类 号：R736.1[医药卫生—肿瘤]