改良小切口手术和传统甲状腺切除术治疗甲状腺瘤临床疗效分析.docVIP

改良小切口手术和传统甲状腺切除术治疗甲状腺瘤临床疗效分析 　　摘要：目的 分析改良小切口手术与传统甲状腺切除术治疗甲状腺瘤的临床疗效。方法 回顾分析2015年1月～2016年1月我院接诊的78例甲状腺瘤患者临床资料，将其随机分为对照组和研究组，每组39例患者。对照组患者采用传统甲状腺切除术治疗，研究组患者采用改良小切口手术治疗，对比两组患者临床治疗疗效。结果 研究组患者手术时间、手术切口、术中出血量、住院时间均明显小于对照组，差异具有统计学意义（P0.05）；随访12个月，研究组患者术后并发症发生率2.56%，对照组患者术后并发症发生率10.25%，差异具有统计学意义（P0.05）。结论 改良小切口手术治疗甲状腺瘤临床疗效确切，患者手术时间短，术中出血量低，对患者的损伤小，患者术后并发症发生率低，是治疗甲状腺瘤的首选手术方法。 　　关键词：改良小切口；甲状腺切除术；甲状腺瘤 　　Abstract：Objective To analysis of improvement of small incision surgery with conventional thyroidectomy clinical curative effect for the treatment of thyroid tumor. Methods Retrospective analysis in January 2015 to January 2016， during the hospital departments of clinical data of 78 patients with thyroid adenoma， were randomly divided into control group and research group， 39 patients in each group. The control group were treated by conventional thyroidectomy treatment， treatment group were treated by modified small incision surgery， compare the clinical curative effect of two groups of patients. Results The operation time， surgical incision group patients， intraoperative blood loss， hospital stay were significantly less than the control group， the difference is statistically significant （P 0.05）； Follow-up of 12 months， the team 2.56% incidence of postoperative complications， patients in the control group 10.25% incidence of postoperative complications， patients with statistically significant difference （P 0.05）. Conclusion the improved clinical curative effect， small incision surgical treatment of thyroid adenoma patients shorter operation time， intraoperative blood loss is low， damage in patients with small， patients with a low incidence of postoperative complications， is the preferred surgical method for the treatment of thyroid cancer. 　　Key words：Improvement of small incision；Thyroid gland resection；Thyroid tumor 　　甲状腺瘤是临床常见的疾病，其属于多发性良性肿瘤，特别是在碘缺乏区域发病率较高，而且女性发病率高于男性。临床治疗通常采用手术治疗，具有良好的治疗作用，在一定程度上改善了患者临床症状[1]。传统的甲状腺切除术治疗，对患者创伤大，术后切口大不易愈合，住院时间长。面对传统手术治疗的缺陷，我们不断综合现代医学技术