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目的探讨改良小切口手术用于甲状腺瘤治疗的临床价值。方法选取2015年12月至2016年11月于大连市第五人民医院就诊的86例甲状腺瘤患者作为研究对象,并遵照随机抽签原则分组,研究组(n=43)应用改良小切口手术,对照组(n=43)则采取传统甲状腺切除术,比较两组患者并发症发生率、术后瘢痕遗留情况、手术指标。结果研究组患者手术时间、肛门排气恢复时间、住院时间、术中出血量分别为(81±11)d、(1.5±0.8)d、(4.2±1.5)d、(33±62)ml,并发症发生率是4.7%,瘢痕遗留率为2.3%;对照组患者手术时间、肛门排气恢复时间、住院时间、术中出血量分别是(110±14)d、(3.3±1.3)d、(6.6±1.0)d、(116±29)ml,并发症发生率是18.6%,瘢痕遗留率为16.3%;两组患者上述指标组间比较差异均有统计学意义(均P<0.05)。结论改良小切口手术用于甲状腺瘤治疗临床价值显著,可有效减少患者围术期并发症发生,降低瘢痕遗留率,具有微创、康复快、美观等优势。
Objective To investigate the clinical value of modified small incision in the treatment of thyroid tumors. Methods Eighty-six patients with thyroid adenoma treated in Dalian Fifth People’s Hospital from December 2015 to November 2016 were selected and randomly divided into groups. The study group (n = 43) was treated with modified small incision and the control group Group (n = 43), the traditional thyroidectomy was performed. The complication rates, postoperative scarring and operation indexes were compared between the two groups. Results The operation time, recovery time of anus exhaust, hospital stay and blood loss in the study group were (81 ± 11) d, (1.5 ± 0.8) d, (4.2 ± 1.5) d, (33 ± 62) The incidence of complications was 4.7% and the scarring rate was 2.3%. The operation time, anal exhaust recovery time, hospital stay and intraoperative blood loss were (110 ± 14) days and (3.3 ± 1.3) days in the control group, (6.6 ± 1.0) d and (116 ± 29) ml respectively. The complication rate was 18.6% and the scarring rate was 16.3%. There was significant difference between the above two groups (all P <0.05). Conclusion The modified small incision for the treatment of thyroid tumors has significant clinical value, which can effectively reduce the occurrence of perioperative complications and reduce the scarring rate. It has the advantages of minimally invasive, quick recovery and beautiful appearance.