摘要
目的探究采取低领小弧形切口手术方式治疗甲状腺癌的效果。方法便利选取2020年1月—2023年6月海安市中医院收治的84例甲状腺癌患者为研究对象,按照随机数表法分为两组,对照组(42例)采取传统开放式手术方式治疗,观察组(42例)采取低领小弧形切口手术方式治疗。比较两组患者的围术期指标、甲状腺功能、炎症因子水平以及术后并发症发生情况。结果观察组手术所用时间(70.58±10.96)min、住院总时间(5.15±1.02)d均短于对照组,术中出血量(30.31±4.22)mL少于对照组,切口长度(3.75±1.02)cm短于对照组,差异有统计学意义(t=10.287、12.190、20.338、19.834,P均<0.05)。术后,观察组甲状腺功能指标中游离三碘甲状腺原氨酸、血清游离甲状腺素水平均低于对照组,血清促甲状腺激素高于对照组,肿瘤坏死因子α、白介素-6低于对照组,差异有统计学意义(P均<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论手术治疗甲状腺癌疾病可选择低领小弧形切口方式,相较传统开放手术切口更小,术后患者恢复更快,引起炎症反应低,并发症少。
Objective To explore the effect of low collar small arc incision in the treatment of thyroid cancer.Methods A total of 84 patients with thyroid cancer admitted to Haian Hospital of Traditional Chinese Medicine from January 2020 to June 2023 were conveniently selected as the study objects and divided into two groups according to random number table method.The control group(42 cases)was treated with traditional open surgery,and the observation group(42 cases)was treated with low-neck small-arc incision.Perioperative indexes,thyroid function,the level of in-flammatory factors and the occurence of postoperative complications were compared between the two groups of pa-tients.Results The operation time of observation group was(70.58±10.96)min,the total hospitalization time was(5.15±1.02)d,the intraoperative blood loss was(30.31±4.22)mL less than that of control group,and the incision length was(3.75±1.02)cm shorter,and the differences were statistically significant(t=10.287,12.190,20.338,19.834,all P<0.05).After operation,The level of free triiodothyronine and serum free thyroxine in the observation group were lower than those in the control group,the serum thyrotropin was higher than those in the control group,and tumor ne-crosis factorαand interleukin-6 were lower than those in the control group,and the differences were statistically sig-nificant(all P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Surgical treatment of thyroid cancer can choose the low-collar small arc incision,which is smaller than the traditional open surgery,and the postoperative re-covery of patients is faster,resulting in low inflammatory response and fewer complications.
作者
陈柃池
贾晓斌
徐海进
CHEN Lingchi;JIA Xiaobin;XU Haijin(Department of General Surgery,Haian Hospital of Traditional Chinese Medicine,Haian,Jiangsu Province,226600)
出处
《中外医疗》
2024年第6期62-65,共4页
China & Foreign Medical Treatment
关键词
低领小弧形切口
甲状腺癌
炎症因子
甲状腺功能
Low collar small arc incision
Thyroid cancer
Inflammatory factors
Thyroid function
