摘要
目的探讨改良小切口甲状腺次全切术应用于甲状腺良性疾病中的临床疗效。方法回顾性分析2013年1月至2014年1月期间我院行改良小切口甲状腺次全切术的患者40例(A组),另取同时期我院行甲状腺次全切术的患者40例(B组),对比两组患者手术所用时间、术中出血量、住院时间、颈部皮肤感觉异常时间、3个月后抬头视物受限情况以及并发症发生率。结果 A组患者手术时间(50.3±7.4)min、术中出血量(14.6±7.2)ml、住院时间(4.8±1.5)d,颈部皮肤感觉异常时间(21.8±4.9)d,3个月后抬头视物受限患者2例,并发症2例;B组患者手术时间(68.1±8.6)min、术中出血量(36.9±10.3)ml、住院时间(8.7±1.4)d,颈部皮肤感觉异常时间(45.5±11.2)d,3个月后抬头视物受限患者10例,并发症9例,两组数据对比差异显著(P<0.05)。结论在甲状腺良性疾病中采用改良小切口甲状腺次全切术能够缩短患者住院时间,提高治疗效果,减少术后并发症的发生。
Objective：To observe the application of improved small incision subtotal resection in benign thyroid. Meth-ods：Forty cases from January 2013 to January 2014 in our hospital in improved small incision subtotal resection（group A） and 40 cases in subtotal resection in（group B）were considered retrospectively. Two groups of patients were compared in operation time,intraoperative blood loss,hospitalization time,the neck skin feel abnormal time,complications and the lim-ited vision after 3 months. Results：Patients of Group A had operation time（50. 3 ± 7. 4）min,intraoperative blood loss （14. 6 ± 7. 2）ml,hospitalization time（4. 8 ± 1. 5）d,the neck skin feel abnormal time（21. 8 ± 4. 9）d,2 cases with limited vision after 3 months,2 cases with complications. Patients of Group B had operation time（68. 1 ± 8. 6）min,intra-operative blood loss（36. 9 ± 10. 3）ml,hospitalization time（8. 7 ± 1. 4）d,the neck skin feel abnormal time（45. 5 ± 11. 2）d,10 cases with limited vision after 3 month,9 cases with complications. Difference between the two groups were significant（P ﹤ 0. 05）. Conclusion：The modified small incision subtotal resection in benign thyroid diseases can shorten the hospitalization time,improve the therapeutic effect,and reduce the postoperative complications.
出处
《泰山医学院学报》
CAS
2014年第5期382-383,共2页
Journal of Taishan Medical College
关键词
改良小切口
甲状腺次全切术
良性疾病
improved small incision
subtotal resection in benign thyroid
benign
