采用低位小切口甲状腺手术治疗甲状腺良性结节的有效性评价  

Evaluation of the Effectiveness of Using Low-level Small-incision Thyroid Surgery for Benign Thyroid Nodules

作　　者：宋立 SONG Li(Jining Third People′s Hospital(Yanzhou District People′s Hospital),Jining 272100,Shandong,China)

机构地区：[1]济宁市第三人民医院(兖州区人民医院),山东济宁272100

出　　处：《系统医学》2024年第15期48-51,共4页Systems Medicine

摘　　要：目的 探讨低位小切口甲状腺手术用于甲状腺良性结节疾病治疗的总有效率。方法 非随机选取2022年1—12月山东省济宁市第三人民医院收治的180例甲状腺良性结节患者为研究对象,按手术方式不同分为两组,各90例。参照组应用常规切口手术方案,研究组应用低位小切口手术方案。对比两组的T淋巴细胞亚群水平、手术指标、并发症情况。结果 研究组T淋巴细胞亚群水平优于参照组,差异有统计学意义(P均<0.05)。研究组手术相关指标优于参照组,差异有统计学意义(P均<0.05)。研究组并发症发生率为3.33%(3/90),高于参照组的15.56%(14/90),差异有统计学意义(χ^(2)=7.860,P<0.05)。结论 低位小切口甲状腺手术可以提高甲状腺良性结节的治疗效果,能够提高患者免疫功能,降低并发症发生风险。Objective To investigate the total effective rate of low incision thyroid surgery in the treatment of benign thyroid nodule disease.Methods One hundred and eighty patients with benign thyroid nodules treated in the Third People′s Hospital of Jining,Shandong Province from January to December 2022 were non-randomly selected as the study objects and divided into two groups with ninety cases each according to different surgical methods.The control group was treated with conventional incision,while the study group was treated with low incision.The level of T lym-phocyte subsets,surgical indexes and complications were compared between the two groups.Results The level of T lymphocyte subsets in the study group was better than that in the reference group,and the differences were statisti-cally significant(all P<0.05).The surgery related indexes of the study group were better than those of the reference group,and the differences were statistically significant(all P<0.05).The incidence of complications in the study group was 3.33%(3/90),higher than 15.56%(14/90)in the reference group,and the difference was statistically significant(χ^(2)=7.860,P<0.05).Conclusion Low incision thyroid surgery can improve the treatment effect of benign thyroid nod-ule,improve the immune function of patients,and reduce the risk of complications.

关 键 词：甲状腺良性结节 低位小切口甲状腺手术 疼痛程度 并发症 

分 类 号：R59[医药卫生—内科学]