低位小切口与传统甲状腺手术治疗甲状腺良性结节的临床效果对比  

Comparison of Clinical Effects of Low Incision and Conventional Thyroid Surgery in the Treatment of Benign Thyroid Nodules

作　　者：高永峰 Gao Yongfeng(Linyi Yinan County Hospital of Traditional Chinese Medicine,Linyi 276300,Shandong Province,China)

机构地区：[1]临沂市沂南县中医医院,山东临沂276300

出　　处：《中外医药研究》2024年第14期18-20,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:对比低位小切口与传统甲状腺手术治疗甲状腺良性结节的临床效果。方法:选取2021年1月—2023年1月临沂市沂南县中医医院收治的甲状腺良性结节患者100例为研究对象,采用随机数字表法分为对照组和观察组,各50例。对照组采用传统甲状腺手术治疗,观察组采用低位小切口手术治疗。比较两组手术干预效果。结果:观察组总有效率高于对照组,差异有统计学意义(P=0.025);观察组并发症发生率低于对照组,差异有统计学意义(P=0.026);观察组切口长度小于对照组,手术时间、住院时间短于对照组,术中出血量少于对照组、术后视觉模拟评分法评分低于对照组,差异有统计学意义(P<0.001);术后,两组游离三碘甲状腺原氨酸、血清游离甲状腺素、血小板生成素水平均低于术前,促甲状腺激素水平高于术前,观察组优于对照组,差异有统计学意义(P<0.05);术后,两组社会关系、精神状态、躯体功能、生理功能评分均高于术前,观察组高于对照组,差异有统计学意义(P<0.05)。结论:低位小切口手术治疗甲状腺良性结节的效果显著,可减少并发症,改善甲状腺功能及临床指标,提高生活质量。Objective:To compare the clinical effect of low incision and conventional thyroid surgery in the treatment of benign thyroid nodule.Methods:A total of one hundred patients with benign thyroid nodules admitted to Linyi Yinan County Hospital of Traditional Chinese Medicine from January 2021 to January 2023 were selected as the study objects,and were divided into control group and observation group by random number table method,with fifty cases in each group.The control group was treated with traditional thyroid surgery,and the observation group was treated with low incision surgery.The effect of surgical intervention was compared between the two groups.Results:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.025);the complication rate of the observation group was lower than that of the control group,the difference was statistically significant(P=0.026);the incision length of the observation group was shorter than that of the control group,the operation time and hospital stay were shorter,the intraoperative blood loss was less than that of the control group,and the score of the postoperative visual simulation score was lower than that of the control group,the differences were statistically significant(P<0.001);after operation,the levels of free triiodothyronine,serum free thyroxine and thrombopoietin in two groups were lower than before operation,and the levels of thyrotropin were higher than before operation,the observation group was better than the control group,the difference was statistically significant(P<0.05);after operation,the scores of social relationship,mental state,physical function and physiological function in two groups were higher than before operation,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion:The effect of low incision surgery on benign thyroid nodules is significant,which can reduce complications,improve thyroid function a

关 键 词：甲状腺良性结节 传统甲状腺手术 低位小切口手术 甲状腺功能 

分 类 号：R653[医药卫生—外科学]