颈侧方切口手术治疗甲状腺良性肿瘤的效果分析  

Analysis of the effect of lateral cervical incision in the treatment of benign thyroid tumors

作　　者：谢治年 夏露 廖芯艺 林伟[2] XIE Zhinian;XIA Lu;LIAO Xinyi;LIN Wei(Department of Otolaryngology and Head Surgery,Chongqing Armed Police Corps Hospital,Chongqing 400061,China;Department of Breast Nail Surgery,Quzhou People′s Hospital,Quzhou,Zhejiang 324000,China)

机构地区：[1]武警重庆总队医院耳鼻喉头颈外科,重庆400061 [2]衢州市人民医院乳甲外科,浙江衢州324000

出　　处：《现代医药卫生》2024年第9期1527-1529,1536,共4页Journal of Modern Medicine & Health

摘　　要：目的分析颈侧方切口手术治疗单侧甲状腺良性肿瘤的疗效。方法收集2019年8月至2022年8月衢州市人民医院收治的120例甲状腺良性肿瘤患者的临床资料。依据不同手术切口采用非随机同期对照法分为观察组和对照组,每组60例。观察组取颈侧方切口,对照组取颈前低位弧形切口。比较2组患者手术时间、切口长度、术中出血量、术后第1天引流量、住院时间、术后12 h视觉模拟疼痛量表评分、术后24 h皮下积液发生率等。结果2组患者手术时间比较,差异无统计学意义(P>0.05)。观察组患者切口长度、术中出血量、术后第1天引流量、住院时间、术后12 h视觉模拟疼痛量表评分、术后24 h皮下积液发生率均明显优于对照组,差异均有统计学意义(P<0.05)。结论颈侧方切口手术治疗单侧甲状腺良性肿瘤效果好,切口美观,颈部功能恢复快。Objective To analyze the effect of lateral cervical incision in the treatment of unilateral benign thyroid tumor.Methods Clinical data of 120 patients with benign thyroid tumors admitted to Quzhou People′s Hospital from August 2019 to August 2022 were collected.According to different surgical incisions,the patients were divided into the observation group and the control group with 60 cases in each group.The observation group underwent a lateral neck incision,and the control group underwent a low anterior neck arc incision.The operation time,incision length,intraoperative blood loss,drainage volume on the first day after surgery,length of hospital stay,visual analog scale score 12 h after surgery,and incidence of subcutaneous fluid accumulation 24 h after surgery were compared between the two groups.Results There was no significant difference in operation time between the two groups(P>0.05).Incision length,intraoperative blood loss,drainage volume on the first day after surgery,length of hospital stay,visual analog scale score at 12h after surgery,and incidence of subcutaneous effusion at 24h after surgery in the observation group were significantly better than those in the control group,with statistical significance(P<0.05).Conclusion The effect of lateral cervical incision in the treatment of unilateral benign thyroid tumor is good,the incision is beautiful,and the function of the neck is quickly restored.

关 键 词：甲状腺手术 颈侧方切口 单侧甲状腺良性肿瘤 颈部瘢痕 

分 类 号：R736.1[医药卫生—肿瘤] R61[医药卫生—临床医学]