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目的探索手术治疗甲状腺腺瘤的方法和临床效果。方法选择我院2009年9月至2012年10月收治的甲状腺腺瘤患者72例,随机分为小切口组与常规组各36例,常规组行传统甲状腺腺瘤切除术,小切口组行小切口甲状腺腺瘤切除术,通过对患者临床资料进行分析、总结,判断两种术式治疗甲状腺腺瘤的优劣。结果两组患者全部痊愈出院,小切口组手术切口长度、手术时间、住院时间均短于常规组,且出血量小,两组比较有统计学意义(P<0.05)。经随访调查,小切口组发生并发症2例,少于常规组5例。结论小切口手术治疗甲状腺腺瘤具有创伤小,手术时间和住院时间较短,出血量及术后并发症少等特点,明显优于传统甲状腺腺瘤切除术,值得临床推广应用。
Objective To explore the surgical treatment of thyroid adenoma methods and clinical results. Methods Seventy-two patients with thyroid adenoma who were admitted to our hospital from September 2009 to October 2012 were randomly divided into three groups: small incision group (n = 36) and conventional group (n = 36). Conventional thyroidectomy group Incision thyroid adenoma resection, clinical data through the analysis, summary, to determine the advantages and disadvantages of two surgical treatment of thyroid adenoma. Results The two groups of patients were discharged completely. The incision length, operation time and hospitalization time of the small incision group were shorter than those of the conventional group, and the bleeding volume was small. There was a significant difference between the two groups (P <0.05). Follow-up survey, small incision group complications occurred in 2 cases, less than the conventional group of 5 cases. Conclusion Small incision for the treatment of thyroid adenoma with less trauma, shorter operative time and hospitalization, less bleeding and postoperative complications, which is significantly better than the traditional thyroidectomy, is worthy of clinical application.