低位小切口切除术与传统手术治疗甲状腺瘤的临床效果对比分析.docVIP

低位小切口切除术与传统手术治疗甲状腺瘤的临床效果对比分析 　　【摘要】 目的：对比分析低位小切口切除术与传统手术治疗甲状腺瘤的效果。方法：选取2012年10月-2015年7月来本院治疗的甲状腺瘤患者143例，将其按照随机数字表法分为两组，观察组71例，采用低位小切口切除术治疗，对照组72例，采用传统手术方法治疗，比较两组手术情况、疼痛程度及切口美容评分、并发症发生情况。结果：观察组术中出血量明显少于与对照组，手术切口长度及住院时间明显较短，两组比较差异均有统计学意义（P0.05）；观察组术后6、24 h VAS评分均明显低于对照组，切口美容评分明显较高，两组比较差异均有统计学意义（P中国论文网 /6/view-7251453.htm 　　【关键词】 甲状腺瘤； 小切口； 切除术； 传统手术； 低位 　　The Clinical Effect of Thyroid Tumors Patients Treated with Low Small Incision Surgery and Traditional Surgery/ZHANG Liang.//Medical Innovation of China，2016，13（06）：008-010 　　【Abstract】 Objective： To compare the clinical effect of thyroid tumors patients treated with low small incision surgery and traditional surgery. Method： There were 143 cases of thyroid tumors for the study， all of them were selected from October 2012 to July 2015 in our hospital and according to the random number table， they were divided into two groups， the observation group had 71 cases， treated with low small incision the treatment， the control group had 72 cases， used traditional surgical treatments. The operation case， the pain and wound beauty score，complications occurrence of two groups were compared. Result：The blood loss of the observation group was significantly smaller than the control group， the incision length and hospital stay were significantly shorter than the control group， the differences were statistically significant （P0.05）.The VAS score of 6，24 h after operation of the observation group were significantly lower than the control group， wound beauty score was significantly higher than the control group， the differences were statistically significant （P 　　First-authors address：Anshan Cancer Hospital，Anshan 114033，China 　　doi：10.3969/j.issn.1674-4985.2016.06.003 　　甲状腺瘤是临床常见的一种疾病，在甲状腺肿瘤中所占比例约为80%[1]。大部分甲状腺瘤为良性，很小部分为恶性，癌变率约为10%～20%；环境因素、遗传因素、不良的饮食习惯等均为甲状腺瘤发生的影响因素，且女性患者数量明显高于男性患者，近年来，甲状腺瘤的发生率呈现逐年升高的趋势。手术治疗、放射性治疗或照射治疗为甲状腺瘤的常用治疗方法，其中手术切除是其最有效的根治方式[2-4]。本院在2012年10月-2015年7月共收集甲状腺瘤患者143例，其中用低位小切口切除术治疗71例，效果较为满意，现报道如下。 　　1 资料与方法