低位小切口与传统甲状腺手术治疗甲状腺良性结节的效果研究  

Effect Study of Low Position Small Incision and Traditional Thyroid Surgery in Treatment of Benign Thyroid Nodules

作　　者：胡达旺 HU Dawang(Department of Thyroid Surgery,Xiangtan City Central Hospital,Xiangtan,Hunan 411100)

机构地区：[1]湘潭市中心医院甲状腺外科,湖南湘潭411100

出　　处：《智慧健康》2024年第9期68-71,共4页Smart Healthcare

摘　　要：目的探讨低位小切口与传统甲状腺手术治疗甲状腺良性结节的效果。方法将2018年1月—2022年12月在本院甲状腺外科治疗的98例甲状腺良性结节患者随机分为两组,对照组使用传统甲状腺手术,观察组使用低位小切口手术,对比两组的各项手术指标、并发症、血清炎症因子、甲状腺激素。结果观察组手术时间、切口长度、术中出血量、术后引流量、住院时间均少于对照组,组间差异有统计学意义(P<0.05);观察组并发症发生率明显低于对照组,组间差异有统计学意义(P<0.05);观察组术后3d的CRP、IL-6、TNF-α水平均低于对照组,组间差异有统计学意义(P<0.05);观察组术后7d的FT3、FT4、TT3、TT4与对照组相当,组间差异无统计学意义(P>0.05)。结论低位小切口手术治疗甲状腺良性结节的效果更好,创伤更小,术后恢复更快,并发症更少,炎症反应程度更轻,且对甲状腺分泌功能的影响较小。Objective To explore effect of low incision and traditional thyroid surgery in treatment of benign thyroid nodules.Methods The paper chose 98 patients with benign thyroid nodules treated in thyroid surgery department of our hospital from January 2018 to December 2022,and divided them into two groups randomly.Control group was treated with traditional thyroid surgery,while observation group with low incision surgery.Surgical indicators,complications,serum inflammatory factors,and thyroid hormones were compared between two groups.Results Observation group had shorter surgical time,incision length,intraoperative bleeding,postoperative drainage volume,and hospital stay than control group(P<0.05).Incidence of complications in observation group was significantly lower than control group(P<0.05).Levels of CRP,IL-6,TNF-αat 3 days post surgery in observation groupwere lower than control group(P<0.05).Levels of FT3,FT4,TT3,and TT4 in observation group were comparable to control group 7 days after surgery(P>0.05).Conclusion Low position small incision surgery is more effective for benign thyroid nodules,with less trauma,faster postoperative recovery,fewer complications,milder inflammation,and less effect on thyroid secretion function.

关 键 词：甲状腺良性结节 低位小切口手术 传统甲状腺手术 效果 

分 类 号：R653[医药卫生—外科学]