小切口改良甲状腺切除术治疗甲状腺瘤的疗效观察

刘建良

（富平县医院外二科，陕西 渭南，711700）

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摘要：

目的 探讨小切口改良甲状腺切除术治疗甲状腺瘤的临床效果。方法 选取我院收治的96例甲状腺瘤患者，根据不同术式分为对照组和观察组，各48例。对照组行传统甲状腺切除术，观察组行小切口改良甲状腺切除术。比较两组临床效果。 结果 观察组的手术时间、住院时间、术中出血量、切口长度均优于对照组（P<0.05）；观察组瘢痕美观满意度为93.75%，高于对照组的70.83%（P<0.05）；观察组术后切口感染、呼吸困难、声音嘶哑及颈部紧缩感发生率稍低于对照组，但差异无统计学 意义（P>0.05）；术后6 个月，两组生活质量评分较术前均升高，且观察组高于对照组（P<0.05）。结论 小切口改良甲状腺切除术治疗甲状腺瘤，临床效果显著，患者满意度高。

关键词：甲状腺瘤；小切口改良甲状腺切除术；瘢痕满意度

中图分类号：R736.1文献标志码：A文章编号：2096-1413(2017)27-0071-02

Clinical observation of small incision modified thyroidectomy on thyroid tumor
LIU Jian-liang
（the Second Department of General Surgery, Fuping County Hospital, Weinan 711700, China）

ABSTRACT: Objective To explore the clinical effect of small incision modified thyroidectomy in the treatment of thyroid tumor. Methods Ninety-six patients with thyroid tumor admitted in our hospital were divided into control group and observation group according to different operations, with 48 cases in each group. The control group received conventional thyroidectomy, and the observation group was treated with small incision modified thyroidectomy. The clinical effects were compared between the two groups. Results The operation time, hospitalization time, intraoperative blood loss and incision length of the observation group were better than those of the control group (P<0.05); the aesthetic satisfaction of scar in the observation group was 93.75%, which was higher than 70.83% of the control group (P<0.05); the incidence rates of postoperative incisional infection, dyspnea, hoarseness and neck tightening in the observation group were slightly lower than those in the control group, but the differences were not statistically significant (P>0.05); at 6 months after operation, the qualitym of life scores of both groups were higher than those before operation, and those of the observation group were higher than the control group (P<0.05). Conclusion Small incision modified thyroidectomy applied in the treatment of thyroid tumor has
remarkable effect, with high aesthetic satisfaction of scar.
KEYWORDS: thyroid tumor; small incision improved thyroidectomy; scar satisfaction

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