传统甲状腺切除术与小切口甲状腺切除术治疗甲状腺结节的临床效果分析
彭志勇1 ，徐会明2
（1.陕西省渭南市澄城县医院，陕西 渭南，715299；2.陕西省陇县中医医院，陕西 宝鸡，721200）
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摘要：
目的 分析小切口切除术与传统切除术治疗甲状腺结节的临床效果。方法 选择我院收治的150例甲状腺结节患者为 研究对象，将150例患者分为小切口组和传统组，小切口组77例，传统组73例，传统组患者采用传统甲状腺切除术，小切口组患者采用小切口甲状腺切除术，比较两组患者的临床效果。结果 小切口组患者治疗总有效率为92.21%，明显高于传统组患者的80.82%（P<0.05）；小切口组患者的并发症总发生率为14.29%，明显低于传统组患者的27.40%（P<0.05）。结论 小切口 甲状腺切除术治疗甲状腺结节的效果优于传统甲状腺切除术。
关键词：甲状腺结节；传统甲状腺切除术；小切口甲状腺切除术
中图分类号：R653文献标志码：A文章编号：2096-1413(2016)27-0083-02
Clinical effect of traditional thyroidectomy and small-incision thyroidectomy on thyroid nodule
PENG Zhi-yong 1, XU Hui-ming 2
(1. Chengcheng County Hospital, Weinan 715299; 2. Traditional Chinese Medicine Hospital of Long County, Baoji 721200, China)
ABSTRACT: Objective To analyze the clinical effect of small -incision thyroidectomy and traditional thyroidectomy on thyroid nodule (TN). Methods One hundred and fifty patients with TN admitted in our hospital were included. All the patients were divided into small-incision group (77 cases) and traditional group (73 cases). The small-incision group was treated with small -incision thyroidectomy, while the traditional group was given traditional thyroidectomy, the clinical effects of two groups were compared. Results The total effective rate of the small-incision group was 92.21%, which was higher than 80.82% of the traditional group (P<0.05); the total incidence rate of complications of the small-incision group was 14.29%, which was lower than 27.40% of the traditional group (P<0.05). Conclusion The clinincal effect of small-incision thyroidectomy on TN is better than traditional thyroidectomy.
KEYWORDS: thyroid nodules; traditional hyroidectomy; small-incision thyroidectomy
参考文献：
[1] 张磊,王洋,李新喜,等.预防性颈中央区淋巴结清扫术与传统甲状腺全切除术治疗cN0期甲状腺乳头状癌安全性及有效性的Meta 分析[J].中国普外基础与临床杂志,2015,22(12):1487-1494.
[2] 彭琛,魏松锋,郑向前,等.1401 例甲状腺微小乳头状癌临床病理特征及中央区淋巴结转移危险因素分析[J].中国肿瘤临床,2016,43(3):95-99.
[3] 贾克宝.硒酵母辅助优甲乐治疗桥本甲状腺炎甲状腺功能减退对 甲状腺过氧化物酶抗体及甲状腺球蛋白抗体的影响[J].中国慢性病预防与控制,2016,24(2):141-143.
[4] 郭凯,官青,李端树,等.甲状腺乳头状微小癌中央区淋巴结转移率与侧颈淋巴结转移关系研究[J].中国实用外科杂志,2015,35(1):110-113.
[5] 林岩松,李娇.2015 年美国甲状腺学会《成人甲状腺结节与分化型甲状腺癌诊治指南》解读:分化型甲状腺癌131I 治疗新进展[J].中国癌症杂志,2016,26(1):1-10.
[6] 王卓颖,孙团起,吴毅,等.中央区淋巴结清扫在甲状腺乳头状微小癌治疗中的意义(附10 年1048 例报告)[J].中国实用外科杂志,2014,34(1):93-96.