【摘要】 目的探讨峡部入路改良Miccoli手术治疗良性甲状腺肿瘤的临床效果。方法选择我院收治的良性甲状腺肿瘤患112例,按随机数表法分为两组,各56例。对照组行传统上外侧入路Miccoli术,观察组行峡部入路改良Miccoli术,观察两种手术效果、甲状腺激素水平及并发症率。结果与对照组相比,观察组手术出血量、手术时间、住院时间及并发症发生率较低,观察组术后甲状腺激素水平优于对照组,差异有统计学意义(P<0.05)。结论经峡部入路改良Miccoli手术治疗良性甲状腺肿瘤可减轻对患者甲状腺功能的影响,安全性高、效果显著,值得临床推广应用。更多还原

【Abstract】 Objective To investigate the clinical effect of the per-isthmus entrance for modified Miccoli operation.Methods 112 patients with benign thyroid tumors were divided into two groups, 56 cases each. The control group was treated with traditional lateral approach Miccoli. The observation group was treated with the per-isthmus entrance for modified Miccoli operation. The effects of the two procedures, thyroid hormone levels and complication rate were observed. Results Compared with the control group, the amount of surgical bleeding, operation time, hospitalization and complication rate were lower in the observation group, the thyroid hormone level in the observation group was better than that in the control group(P<0.05). Conclusion Modified transisthmic approach for the treatment of benign thyroid tumor with Miccoli is safe and effective, and is worthy of clinical application.更多还原