[1]王小四.低位小切口与传统甲状腺手术治疗甲状腺良性肿瘤的效果比较[J].医学信息,2021,34(20):145-147.[doi:10.3969/j.issn.1006-1959.2021.20.038]
　WANG Xiao-si.The Effect Comparison of Low-position Small Incision and Traditional Thyroid Surgery in the Treatment of Benign Thyroid Tumors[J].Medical Information,2021,34(20):145-147.[doi:10.3969/j.issn.1006-1959.2021.20.038]
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低位小切口与传统甲状腺手术治疗甲状腺良性肿瘤的效果比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年20期
页码:
145-147
栏目:
临床研究
出版日期:
2021-10-20

文章信息/Info

Title:
The Effect Comparison of Low-position Small Incision and Traditional Thyroid Surgery in the Treatment of Benign Thyroid Tumors
文章编号:
1006-1959（2021）20-0145-03
作者:
王小四
连云港市赣榆区中医院普外科，江苏 连云港 222100
Author(s):
WANG Xiao-si
Department of General Surgery,Ganyu District Hospital of Traditional Chinese Medicine,Lianyungang 222100,Jiangsu,China
关键词:
甲状腺肿瘤; 低位小切口甲状腺切除术; 生活质量
Keywords:
Thyroid tumor; Low-position small incision thyroidectomy; Quality of life
分类号:
R736.1
DOI:
10.3969/j.issn.1006-1959.2021.20.038
文献标志码:
A
摘要:
目的 比较低位小切口与传统甲状腺手术治疗甲状腺良性肿瘤的效果。方法 选择2017年1月-2020年6月我院收治的75例甲状腺良性肿瘤患者作为研究对象，根据手术方式不同分为传统组35例和低位小切口组40例。传统组实施传统甲状腺手术治疗，低位小切口组实施低位小切口甲状腺切除术治疗，比较两组治疗效果、围术期指标、术后疼痛、返流情况及生活质量、美容效果满意度及预后效果。结果 两组治疗总有效率比较，差异无统计学意义（P＞0.05）；低位小切口组手术时间、置管时间、住院时间及切口长度短于传统组，引流量少于传统组，差异有统计学意义（P＜0.05）；低位小切口组术后VAS评分、RSI评分低于传统组，SF-36评分高于传统组，差异有统计学意义（P＜0.05）；低位小切口组美容效果满意率高于传统组，差异有统计学意义（P＜0.05）；低位小切口组并发症发生率、疾病复发率低于传统组，差异有统计学意义（P＜0.05）。结论 低位小切口与传统甲状腺手术均能有效清除甲状腺良性肿瘤，但低位小切口的效果更为理想，可缩短手术时间，减轻对机体的创伤，降低术后痛感，缩短引流管放置时间，提升患者生活质量。
Abstract:
Objective To compare the effect of low-position small incision and traditional thyroid surgery on benign thyroid tumors.Methods A total of 75 patients with benign thyroid tumors admitted to our hospital from January 2017 to June 2020 were selected as the study subjects. According to different surgical methods, they were divided into traditional group (35 cases) and low-position small incision (40 cases). The traditional group was treated with traditional thyroid surgery, and the low-position small incision was treated with low-position small incision thyroidectomy. The therapeutic effect, perioperative indexes, postoperative pain, reflux, quality of life, cosmetic effect satisfaction and prognosis were compared between the two groups.Results There was no significant difference in the total effective rate between the two groups (P>0.05). The operation time, catheterization time, hospitalization time and incision length of the low-position small incision group were shorter than those of the traditional group, and the drainage volume was less than that of the traditional group, and the difference was statistically significant (P<0.05). The postoperative VAS score and RSI score in the low-position small incision group were lower than those in the traditional group, and the SF-36 score was higher than that in the traditional group, and the difference was statistically significant (P<0.05). The satisfaction rate of cosmetic effect in the low-position small incision group was higher than that in the traditional group, and the difference was statistically significant (P<0.05). The incidence of complications and disease recurrence rate in the low-position small incision group were lower than those in the traditional group, and the difference was statistically significant (P<0.05).Conclusion Both low-position small incision and traditional thyroid surgery can effectively remove benign thyroid tumors, while the effect of low-position small incision is more ideal, which can shorten the operation time, reduce the trauma to the body, reduce postoperative pain, shorten the drainage tube placement time, and improve the quality of life.

参考文献/References:

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更新日期/Last Update: 1900-01-01