摘要
目的探讨甲状腺良性结节应用低位小切口甲状腺手术治疗。方法采集2015年2月—2018年2月期间湖北省大冶市中医医院普外科收治的80例甲状腺良性结节患者根据手术情况分组。常规切口组手术中采取的方式是进行常规切口甲状腺手术,低位小切口组手术过程采取的手术方式是低位小切口甲状腺手术。比较两组手术治疗的结果、手术带来的应激情况、手术的总体时间和切口长度比例、出血情况以及手术后并发症情况。结果从手术治疗的结果、手术带来的应激情况、手术的总体时间和切口长度比例、出血情况以及手术后并发症情况看,低位小切口组和常规切口组比较有优势,P<0.05。结论甲状腺良性结节患者在手术中,实施常规切口手术的效果和安全性不如低位小切口甲状腺手术,后者可缩小切口,减少创伤,减少失血,减轻对患者机体产生的不良应激,并提高治疗的效果,减少并发症的发生。
Objective To explore the application of low small incision thyroid surgery in the treatment of benign thyroid nodules.Methods From February 2015 to February 2018,80 patients with benign thyroid nodules treated in the department of general surgery of traditional Chinese medicine hospital of Daye city,Hubei province were randomly divided into two groups.The conventional incision thyroid surgery was performed in the conventional incision group,and the low small incision thyroid surgery was adopted in the low small incision group.The results of surgical treatment,the stress caused by operation,the overall time of operation and the proportion of incision length,bleeding and postoperative complications were compared between the two groups.Results From the results of surgical treatment,stress caused by operation,the overall time of operation and the proportion of incision length,bleeding and postoperative complications,the low small incision group was superior to the conventional incision group(P<0.05).Conclusion In patients with benign thyroid nodules,the effect and safety of conventional incision surgery is not as good as that of low small incision thyroid surgery,which can reduce incision,reduce trauma,reduce blood loss and reduce adverse stress on patients.And improve the effect of treatment and reduce the occurrence of complications.
作者
吴利彬
WU Libin(Department of General Surgery,Daye Traditional Chinese Medicine Hospital,Hubei Province,Daye,Hubei 435100,China)
出处
《中国继续医学教育》
2020年第8期114-116,共3页
China Continuing Medical Education
关键词
甲状腺良性结节
低位小切口甲状腺手术
治疗效果
传统手术
应激指标
并发症
benign thyroid nodules
low-level small incision thyroid surgery
treatment effect
traditional surgery
stress indicators
complications
