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目的探讨改良小切口手术治疗甲状腺瘤的临床疗效。方法选取2011—2014年建湖县人民医院收治的甲状腺瘤患者72例,采用随机数字表法分为观察组与对照组,各36例。观察组患者行改良小切口手术治疗,对照组患者行传统甲状腺瘤切除术治疗。观察两组患者手术时间、术中出血量、切口长度、住院时间及并发症(切口感染、声音嘶哑、低钙抽搐等)发生情况。结果观察组患者手术时间、住院时间短于对照组,切口长度小于对照组,术中出血量少于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论改良小切口手术治疗甲状腺瘤的临床疗效显著,可缩短患者手术时间,减少术中出血量,促进患者康复,且并发症少。
Objective To investigate the clinical effect of modified small incision in the treatment of thyroid tumors. Methods Seventy-two patients with thyroid tumor admitted to Jianhu County People’s Hospital from 2011 to 2014 were randomly divided into observation group and control group with 36 cases in each group. Patients in the observation group underwent modified small incision surgery and patients in the control group underwent conventional thyroidectomy. The operation time, intraoperative blood loss, incision length, hospital stay and complications (incision infection, hoarseness, low calcium convulsion, etc.) were observed. Results The operation time and hospital stay in the observation group were shorter than those in the control group. The incision length was smaller than that in the control group. The blood loss in the operation group was less than that in the control group. The complication rate was lower in the observation group than in the control group (P <0.05). Conclusion Modified small incision surgery for the treatment of thyroid tumors significant clinical effect, can shorten the operation time of patients, reduce intraoperative bleeding, promote patient rehabilitation, and fewer complications.