低位小切口在治疗甲状腺良性结节患者中的临床应用效果  

Clinical Application of Low Level Small Incision in the Treatment of Benign Thyroid Nodules

作　　者：骆俊 王衡兵 孙为民 LUO Jun;WANG Hengbing;SUN Weimin(Xuyi County People's Hospital,Huaian,Jiangsu 361022)

机构地区：[1]盱眙县人民医院,江苏淮安361022

出　　处：《智慧健康》2025年第2期42-44,48,共4页Smart Healthcare

摘　　要：目的观察低位小切口在治疗甲状腺良性结节患者中的临床应用效果。方法选取2022年8月—2024年8月在本院就诊的120例甲状腺良性结节患者为研究对象,按照随机掷骰子法将其分为小切口组(n=60)和开放组(n=60)。开放组采用传统甲状腺手术进行治疗,小切口组采用低位小切口进行治疗。比较两组患者的手术治疗效果、手术相关指标(手术出血量、手术总时长、留置管天数、住院天数),采用疼痛分级指数(PRI)比较两组术后1 d以及术后3 d的疼痛程度,比较两组患者的术后并发症发生情况。结果小切口组患者的临床治疗效果显著优于开放组(P<0.05);小切口组患者的手术相关指标均优于开放组(P<0.05);术后1 d,两组患者的PRI评分比较,差异无统计学意义(P>0.05);术后3 d,两组患者的PRI评分均显著降低,且小切口组患者的PRI评分显著低于开放组(P<0.05);两组患者血肿、呼吸困难以及神经损伤的发生率并无明显差异(P>0.05),但小切口组患者的并发症总发生率高于开放组(P<0.05)。结论甲状腺良性结节患者采用低位小切口进行手术治疗的临床疗效较好、创伤较小、疼痛程度低且其并发症发生率较低,有一定安全性,值得临床推广。Objective To observe the clinical effect of low level small incision in the treatment of benign thyroid nodules.Methods From August 2022 to August 2024,120 patients with benign thyroid nodules treated in our hospital were selected in locations and numbers.They were divided into small incision group(n=60)and open group(n=60)according to random roll of dice.The open group was treated with traditional thyroid surgery,while the small incision group was treated with low small incision.The clinical efficacy of surgical treatment was compared between the two groups,and the operation-related indicators(amount of surgical bleeding,total duration of surgery,number of days with catheter indent and number of days in hospital)were compared between the two groups.The pain grading index(PRI)was used to compare the pain degree 1d and 3d after surgery between the two groups,and the incidence of postoperative complications between the two groups were compared.Results The clinical therapeutic effect of the small incision group was significantly better than that of the open group(P<0.05).The time of surgery-related indexes in the small incision group was significantly lower than that in the open group(P<0.05).At 1 day after surgery,there was no statistically significant difference in the PRI score between the two groups(P>0.05);at 3 days after surgery,the PRI score of the two groups was significantly decreased,and the PRI score of the small incision group was significantly lower than that of the open group,with statistical significance(P<0.05).There was no significant difference in the incidence of hematoma,dyspnea and nerve injury between the two groups(P>0.05),but the total incidence of complications in the small incision group was significantly higher than that in the open group(P<0.05).Conclusion Laparoscopic TAPP can effectively improve the clinical efficacy of patients with inguinal hernia,improve the operation-related indicators,reduce the degree of pain and the incidence of complications,and promote the postoperative rehabil

关 键 词：低位小切口 甲状腺 良性结节 

分 类 号：R47[医药卫生—护理学]