改良小切口甲状腺次全切术在甲状腺良性疾病中的应用

改良小切口甲状腺次全切术在甲状腺良性疾病中的应用
汪波
【期刊名称】《中外医疗》
【年(卷),期】2015(0)25
【摘要】Objective To study the clinical effect of improved mini-incision subtotal thyroidectomy in the treatment of benign thy-roid disease. Methods 80 patients with benign thyroid disease treated from June 2013 to May 2014 in our hospital were selected and randomly divided into control group and experimental group, 40 cases in each group. The experimental group adopted the im-proved mini-incision subtotal thyroidectomy and control group adopted the conventional subtotal thyroidectomy. The indicators in-cluding hospitalization time, size of incision, intraoperative blood loss, operation time, paresthesia time of neck skin etc, as well as the recurrences and incidences of complications of the two groups were compared. Results The indicators like hospitalization time, size of incision, intraoperative blood loss, operation time, paresthesia time of neck skin of experimental group were significantly better than those of control group, P<0.05;the recurrence rate and incidence rate of complications of experimental group was signif-icantly lower than that of control group, P<0.05. Conclusion The improved mini-incision subtotal thyroidectomy can reduce the postoperative recurrences and incidences of complications, promote the patient's recovery and has fewer impacts on
the normal cervical movements. It is worthy of clinical promotion.%目的：
探析甲状腺良性病变进行改良小切口甲状腺次全切术疗法的临床效果。

方法随机选取该院2013年6月-2014年5月甲状腺良性病变病人80例，根据随机数字表法分为对照组、实验组，每组40例，实验组进行改良小切口甲状腺次全切术疗法，对照组进行常规甲状腺全切术疗法，比较两组的住院时间、切口大小、术中出血量、手术时间、颈部皮肤感觉异常时间等指标；比较两组的复发情况和并发症发生情况。

结果实验组的住院时间、切口大小、术中出血量、手术时间、颈部皮肤感染异常时间等指标显著优于对照组，差异有统计学意义(P<0.05)；实验组的复发情况和并
发症发生情况显著低于对照组，差异有统计学意义(P<0.05)。

结论甲状腺良性病
变进行改良小切口甲状腺次全切术疗法，高度微创，可减低术后复发和并发症的发生，术后可迅速康复，对病人的颈部正常活动影响较小，值得临床推广。

【总页数】2页(P75-76)
【作者】汪波
【作者单位】江苏常熟市第一人民医院甲乳外科，江苏常熟 215500
【正文语种】中文
【中图分类】R653
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