低位小切口甲状腺瘤切除术治疗甲状腺瘤的效果分析.docVIP

低位小切口甲状腺瘤切除术治疗甲状腺瘤的效果分析 　　[摘要] 目的 探讨低位小切口甲状腺瘤切除术治疗甲状腺瘤的临床疗效及安全性。 方法 选取本院2012年4月～2015年4月收治的81例甲状腺瘤患者作为研究对象，随机分为对照组（n=40）与观察组（n=41）。对照组采用常规甲状腺手术，观察组采用低位小切口切除术。比较两组的手术时间、术中出血量、住院时间及切口长度、术后并发症发生率。 结果 观察组的手术时间、住院时间及切口长度显著短于对照组，术中出血量显著少于对照组，差异有统计学意义（P0.05）。观察组的并发症发生率为7.3%，显著低于对照组的25.0%，差异有统计学意义（P0.05）。 结论 低位小切口切除术治疗甲状腺瘤的效果较好，创伤性较小，术后恢复快且安全性高，值得临床推广应用。 　　[关键词] 低位小切口；甲状腺瘤；可行性；安全性 　　[中图分类号] R736.1 [文献标识码] A [文章编号] 1674-4721（2016）04（b）-0045-03 　　[Abstract] Objective To explore the clinical effect and safety of thyroid adenoma removal in lower-sited and minor incision in the treatment of thyrophyma. Methods 81 patients with thyrophyma in our hospital from April 2012 to April 2015 were selected and randomly divided into the control group （n=40） and the observation group （n=41）.The control group was treated with conventional thyroid surgery，the observation group was treated with resection in lower-sited and minor incision.The operation time，intraoperative amount of bleeding，hospital stay，length of incision，and the incidence rate of postoperative complication in the two groups was compared. Results The operation time，hospital stay and length of incision in the observation group was shorter than that in the control group，the intraoperative amount of bleeding in the observation group was less than that in the control group，with significant difference （P0.05）.The incidence rate of complication in the observation group was 7.3%，which was lower than 25.0% in the control group，with significant difference （P0.05）. Conclusion The effect of resection in lower-sited and minor incision in the treatment of thyrophyma is better，trauma is less，postoperative recovery is fast and safety is high，it is worthy of clinical promotion and application. 　　[Key words] Lower-sited and minor incision；Thyrophyma；Feasibility；Safety 　　甲状腺瘤是甲状腺常见的疾病之一，多为良性，但部分腺瘤（包括单纯性腺瘤、胎儿型腺瘤、胶体腺瘤）具有较高的恶变概率[1]。良性甲状腺瘤包膜多完整，瘤体界限较清晰，且瘤体无较大血管浸润。甲状腺瘤的病因尚未明确，治疗方法主要为外科手术治疗[2-3]。外科手术方法主要包括传统常规甲状腺切除术与低位小切口甲状腺瘤切除术。传统常规甲状腺瘤切除术具