【摘要】 目的研究与分析低位小切口治疗甲状腺良性结节的优越性。方法选取该院2016年1月—2017年1月收治的甲状腺良性结节患者100例为对象进行研究,利用计算机将其随机分组为对照组与观察组,各50例。观察组患者采用低位小切口甲状腺手术治疗,对照组患者采用传统甲状腺切除术治疗。观察比较两组手术情况、治疗效果、住院时间、瘢痕满意度以及随访6个月的复发率。结果观察组的切口长度为(3.51±0.43)cm、手术时间为(42.31±3.45)min、术中出血量为(40.81±6.57)m L、住院时间为(4.03±1.74)d,而对照组分别为(8.64±0.91)cm、(69.75±9.28)min、(78.62±9.54)m L、(8.54±2.31)d,观察组与对照组相比均显著较少,组间对比差异有统计学意义(P<0.05);观察组的治疗有效率为96.0%(48/50),与对照组80.0%(40/50)相比显著较高,组间差异有统计学意义(P<0.05);观察组对瘢痕满意度为94.0%(47/50),随访6个月复发率为4.0%(2/50),而对照组对瘢痕满意度为78.0%(39/50),随访6个月复发率为14.0%(7/50),观察组均显著优于对照组,组间对比差异有统计学意义(P<0.05)。结论低位小切口治疗甲状腺良性结节具有十分显著的优越性,即能显著减少术中出血量以及手术时间,同时还能达到较高的临床疗效,并能缩短住院时间,利于患者恢复,且术后瘢痕小,复发率低,使得患者满意度普遍较高,因此值得推广于临床应用。更多还原

【Abstract】 Objective To research and analyze the advantages of low incision in treatment of benign thyroid nodules.Methods 100 cases of patients with benign thyroid nodules admitted and treated in our hospital from January 2016 to January 2017 were selected and randomly divided into two groups with 50 cases in each, the observation group were treated with low incision thyroid surgery, and the control group adopted the traditional thyroid resection, and the operation situation, treatment effect, length of stay, scar satisfactory degree and recurrence rate after six-month follow-up were compared between the two groups. Results The cut length, operation time, intraoperative bleeding amount, length of stay in the observation group and in the control group were respectively(3.51±0.43)cm,(42.31±3.45)min,(40.81±6.57)m L,(4.03 ±1.74)d and(8.64 ±0.91)cm,(69.75±9.28)min,(78.62 ±9.54)m L,(8.54 ±2.31)d in the control group, and the differences between groups were obvious with statistical significance(P<0.05), and the total treatment effective rate in the observation group and in the control group was respectively 96.0%(48/50)and 80.0%(40/50), and the difference was obvious with statistical significance(P<0.05), and the scar satisfactory degree and recurrence rate after six-month follow-up in the observation group were obviously better than those in the control group, [94.0%(47/50), 4.0%(2/50) vs78.0%(39/50), 14.0%(7/50)](P<0.05), and the difference was obvious with statistical significance(P<0.05). Conclusion The advantages of low incision in treatment of benign thyroid nodules are very obvious, which can not only obviously reduce the intraoperative bleeding amount and operation time, but also obtain a higher clinical curative effect,and shorten the length of stay with small postoperative scar and low recurrence rate and high satisfactory degree of patients, therefore, it is worth promotion.更多还原