侧颈入路小切口手术治疗单侧甲状腺肿瘤的疗效分析  

Analysis of the Therapeutic Effect of Small Incision Surgery Through the Lateral Neck Approach for Unilateral Thyroid Tumors

作　　者：陶永莉 李冬山 TAO Yongi;LI Dongshan(Department of Otolaryngology,Head and Neck Surgery,Wuwei Cancer Hospital,Wuwei,Gansu,733000,China)

机构地区：[1]武威肿瘤医院耳鼻咽喉头颈外科,甘肃武威733000

出　　处：《中外医疗》2024年第30期24-27,32,共5页China & Foreign Medical Treatment

摘　　要：目的 对单侧甲状腺肿瘤行颈侧入路小切口手术治疗的效果展开调查。方法 随机选取2021年5月—2023年7月武威肿瘤医院耳鼻咽喉头颈外科收治的70例单侧甲状腺肿瘤患者为研究对象,根据不同手术方式分为对照组和观察组,各35例。对照组行传统甲状腺切除术,观察组行侧颈入路小切口手术,比较两组的围手术期指标、炎症因子水平、甲状腺功能、术后并发症发生情况。结果 手术前,两组患者的炎症因子水平比较,差异无统计学意义(P>0.05);手术后,两组患者的炎症因子水平高于治疗前,观察组低于对照组,差异有统计学意义(P均<0.05)。手术前,两组患者的甲状腺功能水平比较,差异无统计学意义(P>0.05);手术后,两组患者的甲状腺功能水平优于手术前,观察组优于对照组,差异有统计学意义(P均<0.05)。观察组并发症总发生率22.86%(8/35)低于对照组的5.71%(2/35),差异有统计学意义(χ^(2)=4.200,P<0.05)。观察组手术时间、住院时间均短于对照组,术中出血量均少于对照组,差异有统计学意义(P均<0.05)。结论 对单侧甲状腺肿瘤患者行侧颈入路小切口手术,可缩短手术时间,控制炎症指标;同时也能减少并发症的发生,促进甲状腺功能改善。Objective To investigate the effect of small incision surgery through lateral cervical approach for unilateral thyroid tumors.Methods From May 2021 to July 2023,70 patients with unilateral thyroid tumor admitted to the De⁃partment of Otorhinolaryngology Head and Neck Surgery,Wuwei Cancer Hospital were randomly selected as the re⁃search objects.According to different surgical methods,they were divided into control group and observation group,with 35 cases in each group.The control group underwent traditional thyroidectomy,and the observation group under⁃went lateral neck approach small incision surgery.The perioperative indicators,inflammatory factor levels,thyroid function,and postoperative complications were compared between the two groups.Results Before operation,there was no significant difference in the levels of inflammatory factors between the two groups(P>0.05);after operation,the lev⁃els of inflammatory factors in the two groups were higher than those before treatment,and those in the observation group were lower than the control group,the differences were statistically significant(both P<0.05).Before operation,there was no significant difference in thyroid function between the two groups(P>0.05);after operation,the thyroid function levels of the two groups were better than those before operation,and the observation group was better than the control group,the differences were statistically significant(both P<0.05).The total incidence of complications in the observation group was 22.86%(8/35)lower than 5.71%(2/35)in the control group,and the difference was statistically significant(χ^(2)=4.200,P<0.05).The operation time and hospitalization time of the observation group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(all P<0.05).Conclusion Small incision surgery through lateral neck approach for patients with unilateral thyroid tumor can shorten the operation time and control the in

关 键 词：单侧甲状腺肿瘤 侧颈入路 小切口手术 临床疗效 

分 类 号：R4[医药卫生—临床医学]