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目的比较低位小切口切除术与传统切除术治疗甲状腺瘤的临床疗效。方法 82例良性甲状腺瘤患者,按照随机数字表法分为观察组和对照组,各41例。观察组采用低位小切口切除术治疗,对照组采用传统切除术治疗,对比两组患者的手术指标、住院时间及术后并发症情况。结果观察组手术时间、术中出血量、术后48 h引流量及视觉模拟评分法(VAS)评分均优于对照组,且住院时间短于对照组,差异具有统计学意义(P<0.05)。观察组住院期间并发症发生率为12.20%,对照组住院期间并发症发生率为31.71%,两组比较差异具有统计学意义(P<0.05)。结论应用低位小切口切除术治疗良性甲状腺瘤疗效显著,术后并发症少,值得临床推广。
Objective To compare the clinical effect of small incision and conventional resection of thyroid tumor. Methods A total of 82 patients with benign thyroid tumors were divided into observation group and control group according to the random number table method, 41 cases in each. The observation group was treated with low incision and the control group was treated by traditional resection. The operation indexes, hospitalization time and postoperative complications of the two groups were compared. Results The operation time, intraoperative blood loss, postoperative 48 h drainage volume and visual analogue scale (VAS) score in the observation group were better than those in the control group, and the length of stay in the observation group was shorter than that in the control group (P <0.05) . The incidence of complications in the observation group during hospitalization was 12.20%, while that in the control group was 31.71% during hospitalization. The difference between the two groups was statistically significant (P <0.05). Conclusion The treatment of benign thyroid neoplasm with low-incision operation has significant curative effect, less postoperative complications and worthy of clinical promotion.