摘要
目的:分析甲状腺结节射频消融复发后行Miccoli手术的治疗效果及临床应用价值。方法:将接受Miccoli手术治疗的28例甲状腺结节射频消融复发的患者作为观察组,采用颈前横弧形切口常规手术治疗的26例患者作为对照组,对比两组手术时间、术中出血量、主观疼痛评价、住院时间及对美容效果满意度等指标。结果:与对照组相比,观察组术中出血量明显减少,疼痛程度减轻,住院时间显著缩短,手术时间延长,观察组患者对颈前瘢痕状况满意度普遍高于对照组,差异均有统计学意义(P<0.05)。患者均无手术并发症发生。结论:腔镜辅助小切口甲状腺切除术作为甲状腺结节射频消融治疗复发后的补救手术方式,在更加强调规范治疗的同时体现了微创理念,可达到与常规手术相近的治疗效果,更加符合甲状腺微创治疗的发展方向,值得推广应用。
Objective： To study the effect and clinical application value of Miccoli operation in the treatment of recurrent thyroid nodules after radiofrequency ablation treated. Methods： Twenty-eight recurrent thyroid nodules after radiofrequency ablation were treated with Miccoli operation（ study group） and anterior cervical arc incision was practiced in 26 cases of conventional operation（ control group）. The time of operation,intraoperative blood loss,evaluation of pain,hospital stay,satisfaction of cosmetology between the 2groups were compared. Results： Compared with control group,the intraoperative blood loss,pain and hospital stay in the study group were less,and time of operation was significantly longer. The study group showed higher satisfaction in cervical scar. All above indexes between both groups were significantly different. No complications occurred. Conclusions： As remedial measures after radiofrequency ablation,Miccoli operation for recurrent thyroid nodules lays more emphasis on standard treatment and embodies the principle of minimally invasive treatment,meanwhile it can achieve similar results with conventional operation. It accords with the development direction of minimally invasive treatment of thyroid diseases,and is worth popularization.
出处
《腹腔镜外科杂志》
2015年第9期681-683,共3页
Journal of Laparoscopic Surgery
