摘要
目的探讨与研究双侧结节性甲状腺肿患者进行手术治疗的具体方法与治疗效果。方法将该院双侧结节性甲状腺肿住院患者按随机原则分成对照组和实验组，对于实验组患者在手术中运用血管夹来阻断上下极动静脉，每隔15min恢复血供，进行双侧甲状腺结节被膜内切除术和峡部切除术；术后去除血管夹，恢复甲状腺上下极血供。并和同时期运用传统手术方法进行治疗的对照组进行对比。结果观察组患者在手术过程中的出血量是10～20mL，手术以后的并发症发生率是3．4％。结节复发率是6．9％；对照组患者在手术中的出血量是40～60mL，并发症的发生率为20．5％。患者手术以后结节的复发率为20．5％。该两组患者在并发症的发生率与甲状腺结节的复发率对比，差异无统计学意义（P〈0．05）。结论对于结节性甲状腺的患者，在使用血管夹暂时性的夹闭上下极血管进行手术，可以减少在手术中的出血量，有效地避免手术过程的并发症，并降低手术以后结节的复发率，值得临床推广。
Objective To discuss and explore the specific surgical methods for patients with bilateral nodular goiter and the treatment effect. Methods The patients with bilateral nodular goiter admitted in our hospital were randomly divided into the control group and the experimental group. The patients in the experimental group using vascular clamp to block the upper and lower pole arteriovenous, and the blood supply was restored every 15 minutes during the bilateral thyroid nodules are membrane resection and isthmus resection; After the operation, the vascular clip was removed and the blood supply of thyroid upper and lower pole was recovered. And at the same time the experimental group treated by this method was compared with the control group treated by the traditional operation method. Results The intraoperative blood loss of the observation group was 10 ml to 20 ml, the incidence of complications after operation was 3.4%, and the tubercle recurrence rate was 6.9%; while that of the control group was 40 ml to 60ml, 20.5% and 20.5%, respectively. There were statistically significant differences between the groups in the aspects of incidence of complications and tubercle recurrence rate, （P〈0.05）. Conclusion For nodular thyroid patients, temporarily using vascular clamp to clip on upper and lower pole vessels during the operation can reduce the intraoperative blood loss and the tubercle recurrence rate after the operation and effectively avoid the occurrence of complications in the surgery, which is worthy of clinical promotion.
出处
《中外医疗》
2014年第7期38-39,共2页
China & Foreign Medical Treatment
