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目的观察超低位颈前小切口手术与传统切除术治疗甲状腺腺瘤的临床疗效,总结其临床治疗经验。方法选择2012年8月至2015年8月甲状腺腺瘤患者68例,随机平均分成两组,观察组34例行超低位颈前小切口手术治疗,对照组34例行传统甲状腺腺瘤切除术治疗,观察对比两组患者的手术情况、术后疼痛(VAS)评分及切口美容评分,吞咽不适感发生率、并发症发生率。结果两组患者平均手术时间、切口长度、术中出血量、术后住院时间、住院费用比较差异均有统计学意义(P<0.05);两组患者术后6、24 h VAS评分,切口美容评分比较,差异均有统计学意义(P<0.05);两组患者术后并发症总发生率比较差异有统计学意义(P<0.05)。结论超低位颈前小切口手术治疗甲状腺腺瘤的临床疗效确切,创伤小,术后恢复快,切口美观度高,应作为该疾病首选手术方案,值得临床推广应用。
Objective To observe the clinical effect of ultra-low anterior small incision surgery and traditional resection on thyroid adenoma and summarize the clinical experience. Methods Sixty-eight patients with thyroid adenoma from August 2012 to August 2015 were randomly divided into two groups. 34 cases in the observation group underwent surgical treatment of ultra-low anterior small incision and 34 cases in the control group underwent conventional thyroidectomy The operation conditions, postoperative pain (VAS) score and incision cosmetic score, the incidence of swallowing discomfort and the incidence of complications were compared between the two groups. Results The mean operative time, incision length, intraoperative blood loss, postoperative hospital stay and hospitalization costs were significantly different between the two groups (P <0.05). The VAS score, cosmetic incision (P <0.05). There was significant difference in the incidence of postoperative complications between the two groups (P <0.05). Conclusion Surgical treatment of thyroid adenoma by ultra-low anterior small incision is an effective surgical treatment of thyroid adenoma with small trauma, rapid postoperative recovery and good incision appearance. It should be the first choice of surgical treatment for this disease and is worthy of clinical application.