甲状腺肿瘤经小切口与传统开放手术治疗的临床效果比较

王欣成，任兴宇，白海锋

[陕西省榆林市第三医院（榆林市传染病院）外科，陕西 榆林，719000]

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摘要：

目的 分析甲状腺肿瘤经小切口与传统开放手术治疗的临床疗效。方法 选择我院2015年1月至2016年10月收治的甲状腺肿瘤患者90 例，按照患者的手术方式进行分组，将采用腔镜辅助颈部小切口患者45例设为观察组，采用传统开放手术患者45例设为对照组。比较两组患者的临床效果。结果 观察组患者手术时间长于对照组（P<0.05），引流时间及住院时间短于对照组，术中出血量少于对照组，手术切口长度短于对照组，差异有统计学意义（P<0.05）；观察组术后并发症发生率为 4.4%，低于对照组的17.8%（P<0.05）。结论 腔镜辅助颈部小切口治疗甲状腺肿瘤效果显著，安全性高。

关键词：甲状腺肿瘤；小切口；传统开放手术

中图分类号：R736.1文献标志码：A文章编号：2096-1413(2017)30-0060-02

Clinical comparison of small incision and traditional open surgery in treatment of thyroid tumors
WANG Xin-cheng, REN Xing-yu, BAI Hai-feng
[Department of Surgery, the Third Hospital of Yulin City (Yulin Infectious Disease Hospital), Yulin 719000, China]

ABSTRACT: Objective To analyze the clinical effect of small incision and traditional open surgery on thyroid neoplasms. Methods Ninety patients with thyroid neoplasms admitted in our hospital from January 2015 to Octorber 2016 were enrolled, and divided into observation group and control group, with 45 cases in each group. The observation group was treated with endoscopic assisted neck incision, and the control group underwent traditional open surgery. The clinical effects were compared between the two groups. Results In the observation group, the operation time was longer than that in the control group (P<0.05), the drainage time and hospitalization time were shorter than those in the control group (P<0.05). The intraoperative blood loss in the observation group was less than that of the control group (P<0.05). The incision length in the observation group was shorter than that of the control group (P<0.05). The incidence rate of postoperative complication in the observation group was 4.4%, which was lower than 17.8% in the control group (P<0.05). Conclusion Endoscopic assisted small neck incision is effective and safe in the treatment of thyroid neoplasms.
KEYWORDS: thyroid neoplasms; small incision; traditional open surgery

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