甲状腺结节患者行传统甲状腺切除术与小切口甲状腺切除术治疗.docVIP

甲状腺结节患者行传统甲状腺切除术与小切口甲状腺切除术治疗 　　【摘要】 目的：探究甲状腺结节患者应用小切口甲状腺切除术与传统甲状腺切除术的临床疗效。方法：选取本院2014年2月-2015年7月接收的甲状腺结节患者70例作为研究对象，按手术方法不同分为两组，对照组34例行传统甲状腺切除术治疗，观察组36例行小切口甲状腺切除术治疗。观察两组患者手术时间、切口长度、术中出血情况以及住院时间，比较术后具体情况以及并发症发生情况。结果：观察组患者手术时间明显短于对照组，其切口长度小于对照组，术中出血量远低于对照组，两组比较差异均有统计学意义（P0.05）；两组术后首次下床活动时间、排气时间、排便时间、住院时间比较，观察组远优于对照组，两组比较差异均有统计学意义（P0.05）；观察组并发症发生率为5.60%，远低于对照组的17.60%，两组比较差异有统计学意义（P0.05）。结论：与传统甲状腺切除术比较，甲状腺结节患者应用小切口甲状腺切除术治疗，可减少其术中出血量，缩短手术时间与住院时间，手术创伤较小，更容易恢复，值得在临床中应用与推广。 　　【关键词】 甲状腺结节； 小切口甲状腺切除术； 传统甲状腺切除术； 临床疗效 　　【Abstract】 Objective：To discuss the clinical efficacy of patients with thyroid nodules in small incision thyroidectomy surgery and traditional thyroidectomy.Method：70 patients with thyroid nodule in our hospital were selected from February 2014 to July 2015，according to surgical methods they were divided into two groups，the control group of 34 cases received traditional thyroidectomy treatment，observation group of 36 cases received small incision thyroid resection.The surgical time，incision length，blood loss and hospital stay of two groups were observed，the specific circumstances and complications after surgical of two groups were compared.Result：The operative time of observation group was significantly shorter than control group， the incision length was less than control group， blood loss was much lower than the control group，the differences were statistically significant（P0.05）.The postoperative ambulation first time，exhaust time，defecation time and hospital stay of observation group were better than control group， the differences were statistically significant（P0.05）.The complication rate of observation group was 5.60% lower than control group of 17.60%，the difference was statistically significant（P0.05）.Conclusion：Compared with conventional thyroid surgery，the small incision in patients with thyroid nodules thyroid resection can reduce their blood loss， shorter operative time and length of hospital stay，surgical trauma smaller and easier to recover，it