小切口甲状腺切除术与传统甲状腺切除术治疗甲状腺结节的疗效比较.doc

小切口甲状腺切除术与传统甲状腺切除术治疗甲状腺结节的疗效比较 ［ ］H的探?小切1_1中状腺切除术治疗屮状腺结节的临床疗效， 并与传统甲状腺切除术的临床疗效进行比较。方法选择我院2009年 1月?2016年1月收治的80例甲状腺良性结节患者，应用随机数字 表法随机分为小切门组和对照组（采用传统甲状腺切除术），每组40 例，比较两组各项手术观察指标：包括手术时间、术中出血景、手术 时间、住院时间。两组患者手术并发症发生率。结果小切U组患者 的切口长度明显短于对照组，差异有统计学意义（P〈0. 05）。小切口组 患者的术中出血量（40. 75±15. 26） mL，明显少于对照组，差异有统 计学意义（p〈0. 05）。小切门组患者的手术时间（40. 11±6. 75） min, 明显短于对照组，差异有统计学意义（P〈0. 05）。小切口组患者的住院 时间（6. ll±1.34）d,明显短于对照组，差异有统计学意义（P〈0. 05）。 小切口组患者发生切口粘连、吞咽不适、术后皮下水肿的发生率显著 低于对照组（P0.05）。结论小切口甲状腺切除术治疗甲状腺结节的 临床疗效确切，其疗效明显优于传统甲状腺切除术的临床疗效，有利 于提高患者的生活质量，值得推广和应用。 和著作权归原 所有，如有不 愿意被转载的情况， 己 ［关键词］小切口甲状腺切除术；传统甲状腺切除术；甲状腺结节; 并发症 ［ ］R581 ［ ］B ［ ］1673-9701 (2017) 03-0033-04 Comparison curative effect of small incision thyroidectomy and traditional thyroidectomy in threatment of thyroid nodules WANG Yanl LI Pengfei2 YAN Bin3 1. Department of General Surgery, Beilun District Hospital of Traditional Chinese Medicine of Ningbo，Ningbo 315800 China； 2.Department of General Surgery, Beilun District People’s Hospital of Ningbo, Ningbo 315800， China； 3.Department of Cerebral Surgery, Beilun District Hospital of Traditional Chinese Medicine of Ningbo， Ningbo 315800, China ［Abstract］ Objective To investigate the clinical efficacy of small incision thyroidectomy for thyroid nodules , and compared with that of traditional thyroidectomy. Methods A total of 80 cases patients with benign thyroid nodules in our hospital from January 2009 to January 2016 were randomly divided into small incision group and the control group ( traditional thyroidectomy), with 40 cases in each group. The operation time, intraoperative blood loss, operation time, hospital stay and the incidence of surgical complications in two groups were compared. Results The small incision length in small incision group was significantly shorter than that in control group, there was significant difference between two groups (P0. 05). The intraoperative blood loss of small incision group was (40. 75 + 15. 26) mL， which was significantly less than that o