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目的探讨应用改良小切口手术治疗甲状腺瘤的临床疗效。方法选取焦作市第二人民医院2 0 1 4年1月-2 0 1 5年6月收治的甲状腺瘤患者1 6 8例,随机分为观察组及对照组,每组各8 4例。观察组进行改良小切口手术,对照组进行传统的甲状腺切除手术。对比两组临床疗效。结果 2组进行术中出血量、手术持续时间、手术切口的长度及住院时长等指标的比较,观察组更优(P<0.0 5),且观察组术后不良反应的发生率也更低(χ2=7.7 9 2 2,P=0.0 0 5 2)。结论改良小切口手术治疗甲状腺瘤,疗效确切,安全性高,手术持续时间和住院时间缩短,出血量减少,手术切口缩小,不良反应发生率降低,值得临床推广与应用。
Objective To explore the clinical effect of modified small incision in the treatment of thyroid tumor. Methods One hundred and sixty-eight patients with thyroid tumors admitted to Jiaozuo Second People’s Hospital from January 2014 to June 2015 were randomly divided into observation group and control group, with 84 cases in each group. The observation group underwent modified small incision surgery and the control group underwent conventional thyroidectomy. Compare two groups clinical curative effect. Results In the two groups, the intraoperative blood loss, the duration of the operation, the length of the surgical incision and the length of hospital stay were better in the observation group (P <0.05) and the incidence of postoperative adverse reactions in the observation group was lower χ2 = 7.7 9 2 2, P = 0.0 0 5 2). Conclusion Modified small incision for the treatment of thyroid neoplasm has definite curative effect, high safety, shortened operation duration and hospitalization time, reduced bleeding volume, narrowed surgical incision and decreased incidence of adverse reactions, which deserves clinical application and promotion.