经颈侧方入路甲状腺小切口手术与传统甲状腺手术治疗单侧甲状腺肿瘤的临床效果  

Clinical Effect of Trancervical Lateral Approach Thyoidectomy with Small Incision and Traditional Thyroid Surgery for Unilateral Thyroid Tumors

作　　者：王涛[1] 要巍 赵晶斌 魏温涛[1] 倪雅琼 WANG Tao;YAO Wei;ZHAO Jingbin;WEI Wentao;NI Yaqiong(Gansu Cancer Hospital,Lanzhou 730050,China;不详)

机构地区：[1]甘肃省肿瘤医院,甘肃兰州730050

出　　处：《中外医学研究》2024年第19期143-146,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析比较经颈侧方入路甲状腺小切口手术与传统甲状腺手术治疗单侧甲状腺肿瘤的临床效果。方法:选取2022年1月—2023年12月甘肃省肿瘤医院收治的120例单侧甲状腺肿瘤患者为研究对象。根据样本纳入时间分组,其中2022年1—12月60例患者为参照组,实施传统甲状腺手术治疗;2023年1—12月60例患者为研究组,实施经颈侧方入路甲状腺小切口手术治疗。对比两组患者相关治疗指标、疼痛程度、并发症发生情况及术后创面美观满意度。结果:研究组患者切口长度短于参照组,术中出血量少于参照组,手术时间及住院时间短于参照组,差异有统计学意义(P<0.05);研究组患者术后1 d、3 d疼痛程度评分均低于参照组,差异有统计学意义(P<0.05);研究组并发症发生低于参照组,差异有统计学意义(P<0.05);研究组患者术后创面美观满意度总评分高于参照组,差异有统计学意义(P<0.05)。结论:与传统甲状腺手术治疗相比,对单侧甲状腺肿瘤患者实施经颈侧方入路甲状腺小切口手术治疗,可取得更为理想的疗效,有效缩短手术时间及术中出血量等,减轻患者应激反应及疼痛程度,进而可有效减少相关并发症发生,且术后创面美观度相对较高。Objective:To analyze and compare the clinical effects of trancervical lateral approach thyoidectomy with small incision and traditional thyroid surgery in the treatment of unilateral thyroid tumors.Method:A total of 120 patients with unilateral thyroid tumor admitted to Gansu Cancer Hospital from January 2022 to December 2023 were selected as the study objects.According to the inclusion time of the samples,60 patients were divided into the reference group from January to December 2022 and underwent traditional thyroid surgery.From January to December 2023,60 patients were enrolled in the study group and underwent trancervical lateral approach thyoidectomy with small incision.The relevant treatment indexes,pain degree,complications and postoperative aesthetic satisfaction of the wound were compared between the two groups.Result:The incision length was shorter than that in reference group,intraoperative blood loss was less than that in reference group,operative time and hospital stay in the study group were shorter than those in the reference group,and the differences were statistically significant(P<0.05).The pain degree score of the study group was lower than that of the reference group at 1 d and 3 d after operation,the differences were statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the reference group,the difference was statistically significant(P<0.05).The total satisfaction score of postoperative wound appearance in the study group was higher than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion:Compared with traditional thyroid surgery,the treatment of patients with unilateral thyroid tumor with trancervical lateral approach thyoidectomy with small incision can achieve more ideal efficacy,effectively shorten the operation time and intraoperative blood loss,reduce the stress reaction and pain of patients,and then effectively reduce the occurrence of related complications.Besides,the postoperative wound a

关 键 词：甲状腺肿瘤 经颈侧方入路甲状腺小切口手术 传统甲状腺手术 疼痛程度 并发症 

分 类 号：R736.1[医药卫生—肿瘤]