探讨小切口手术切除甲状腺瘤的临床应用价值

张会群

（陕西省安康市汉滨区第一医院普外科，陕西 安康，725000）

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摘要：

目的 探讨小切口手术切除甲状腺瘤的临床应用价值。方法 将我院98例甲状腺瘤患者随机分为观察组和对照组，各49例。对照组采用传统切除术，观察组采用小切口切除术，对比两组患者的手术耗时、切口长度、术中出血量、术后并发症发生情况和患者满意率。结果 两组患者均顺利完成手术，观察组切口长度、术中出血量、手术耗时显著优于对照组（P<0.05）。观察组术后并发症发生率显著低于对照组（P<0.05）；观察组患者满意率显著高于对照组（P<0.05）。结论 小切口手术切除甲状腺瘤疗效确切，安全性高，值得推广。

关键词：小切口手术；甲状腺瘤；应用价值

中图分类号：R736.1文献标志码：A文章编号：2096-1413(2017)14-0065-02

Clinical value of small incision surgery in the removal of thyroid tumor
ZHANG Hui-qun
(Department of General Surgery, First Hospital of Hanbin District, Ankang 725000, China)

ABSTRACT: Objective To investigate the clinical value of small incision surgery in the treatment of thyroid tumor. Methods A total of 98 patients with thyroid nodules enrolled in our hospital were randomly divided into control group and observation group, with 49 cases in each group. The control group was treated with the traditional surgery, while the observation group was treated with small incision resection. The surgery time, incision length, intraoperative blood loss, postoperative complications and satisfaction rate in the two groups were compared. Results The patients in the two groups all successfully completed the surgery, and the incision length, intraoperative blood loss, surgery time in the observation group were significantly better than those in the control group (P<0.05). The incidence rate postoperative complications in the observation group was significantly lower than that in the control group (P <0.05). The satisfactory rate in the observation group was significantly higher than that in the control group (P<0.05). Conclusion Small incision surgery is effective, safe and worthy of promotion.
KEYWORDS: small incision surgery; thyroid tumor; application value

参考文献：
[1] 罗渊明,黄永安,张超,等.超低位颈前小切口手术治疗甲状腺腺瘤48例临床分析[J].临床和实验医学杂志,2013,12(2):107.
[2] 刘习庚,张海才,夏德明.改良小切口甲状腺切除术应用于甲状腺手术的临床效果研究[J].现代中西医结合杂志,2013,22(12):1282-1283.
[3] 刘大文.腹腔镜辅助颈部小切口手术与传统开放手术治疗甲状腺良性肿瘤的临床对比分析[J].医学综述,2013,19(12):2304-2305.
[4] 肖刚,刘立新,李丹.改良小切口手术治疗50 例甲状腺瘤临床疗效观察[J].临床和实验医学杂志,2014,13(13):1086-1088.
[5] 许汝清.小切口手术治疗甲状腺瘤临床分析[J].环球中医药,2013,6(S1):121-122.
[6] 严景辉,韦文,邹凤.改进的甲状腺肿瘤微创腺叶切除术与常规手术对比分析[J].中国医药导刊,2013,1(2):272-273.
[7] 王华龙,王鸿波,王新民.改良小切口手术治疗32 例甲状腺瘤的疗效评价[J].实用临床医药杂志,2014,18(9):96-97.
[8] 杨涛,张宇,侯东旭,等.颈部小切口单发甲状腺囊性肿瘤切除术的探讨[J].中国微创外科杂志,2013,13(7):665-666.
[9] 倪鹏,李红阳.腔镜辅助颈部小切口手术治疗甲状腺良性肿瘤的临床效果[J].中国医药导报,2016,13(16):35-37.
[10] 李传斌.内腹腔镜辅助下颈部小切口在甲状腺瘤手术中的应用 [J].中国现代普通外科进展,2016,19(6):487-489.
[11] 沈江波,王建平.小切口甲状腺切除术治疗甲状腺腺瘤对前白蛋白、视黄醇结合蛋白和C 反应蛋白的影响[J].临床和实验医学杂志,2015,14(4):296-298.
[12] 王隽,权红光.低位小切口切除术治疗甲状腺瘤的疗效及安全性分析[J].实用癌症杂志,2016,31(8):1314-1316.
[13] 孙太冉,李秀芬,鲁蓓,等.传统甲状腺切除术与小切口甲状腺切除手术治疗甲状腺结节的对比研究[J].山西医药杂志,2017,46(2):115.
[14] 田文,姚京,刘洋.甲状腺癌外科治疗术式选择[J].中华普外科手术杂志,2013,7(4):250-253.
[15] 鲁海燕.改良小切口手术与传统切除术在甲状腺瘤中的应用对比[J].内蒙古医科大学学报,2015,5(S1):342-345.
[16] 李小兵.传统切除术与小切口手术在甲状腺瘤中应用对比[J].现代仪器与医疗,2015,21(1):98-100.