改良小切口手术治疗甲状腺瘤的效果  

Effect of improved small incision surgery in the treatment of thyroid tumor

作　　者：焦洋[1] 殷庆欣 JIAO Yang;YIN Qing-xin(General Surgery Department,Gaotang County People's Hospital,Gaotang Shandong Province 252800,China;Anesthesia Department Operating Room,Gaotang County People's Hospital)

机构地区：[1]高唐县人民医院普外科,山东高唐252800 [2]山东省高唐县人民医院麻醉科手术室

出　　处：《中国城乡企业卫生》2024年第11期100-103,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的探讨改良小切口手术治疗甲状腺瘤的效果,为临床治疗甲状腺提供有效的手术方案。方法选取2021年7月—2022年9月高唐县人民医院收治的甲状腺瘤患者64例纳入研究,对照组32例实施传统甲状腺切除术,观察组32例实施改良小切口手术。比较两组手术时间、术中出血量、手术切口长度、住院时间、疼痛评分及并发症发生率。结果观察组患者手术时间、住院时间短于对照组,术中出血量少于对照组,手术切口长度短于对照组,差异均有统计学意义(P<0.05)。观察组患者术后12 h VAS评分(3.67±0.45)分,低于对照组的(4.51±0.57)分,差异有统计学意义(P<0.05)。观察组患者的并发症发生率为3.13%,低于对照组的18.75%,差异有统计学意义(χ^(2)=4.010,P<0.05)。结论对甲状腺瘤的治疗采用改良小切口手术,有着明显的效果,能有效缩短治疗的时间,减少出血量,可使术后的疼痛感得到有效的减轻,降低术后并发症发生率,有助于患者更快恢复,值得临床推广应用。Objective To investigate the effect of improved small incision surgery in the treatment of thyroid tumors,in order to provide the effective surgical plan for clinical treatment of thyroid tumor.Methods A total of 64 patients with thyroid tumors admitted to Gaotang County People's Hospital from July 2021 to September 2022 were enrolled in the study.The control group with 32 cases who were treated with traditional thyroidectomy and the observation group with 32 cases who were treated with improved small incision surgery.The surgical time,intraoperative bleeding volume,surgical incision length,hospital stay,pain score and incidence of complication between two group were compared.Results The surgical time and hospital stay in the observation group were shorter than those in the control group,the intraoperative bleeding volume was less than that in the control group,surgical incision length was shorter than that in the control group,and the differences were statistically significant(P<0.05).The 12 h VAS score of observation group was(3.67±0.45)points,which was lower than(4.51±0.57)points of control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 3.13%,which was lower than 18.75%in the control group,and the difference was statistically significant(χ^(2)=4.010,P<0.05).Conclusion For the treatment of thyroid tumors,the improved small incision surgery had obvious effects,which could effectively shorten the treatment time,reduce the amount of bleeding,effectively reduce the postoperative pain,significantly reduce the probability of postoperative complications,and help patients recover faster,which was whorthy of clinical promotion and application.

关 键 词：改良小切口 甲状腺瘤 手术治疗 

分 类 号：R736.1[医药卫生—肿瘤]