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小切口切除术在甲状腺瘤治疗中的临床应用效果观察 被引量:2

The clinical effect of mini-incision surgery in the treatment of thyroid tumors
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摘要 目的观察在甲状腺瘤患者中使用小切口切除术进行治疗的效果。方法选取我院收治的90例甲状腺瘤患者作为本次研究的对象,给予对照组患者常规切口手术治疗法,观察组患者则采用小切口切除术治疗法,对比两组患者的治疗效果。结果观察组患者的手术切口长度为(3.86±1.11)cm,对照组为(7.12±1.23)cm,观察组明显短于对照组,差异有统计学意义(P<0.05)。观察组患者治疗过程中的出血量为(36.59±4.21)m L,对照组为(89.34±4.51)m L,观察组明显低于对照组,差异有统计学意义(P<0.05);观察组的手术时间为(59.33±18.67)min,对照组为(96.02±19.21)min,观察组明显短于对照组,差异有统计学意义(P<0.05);观察组住院时间为(3.22±1.47)d,对照组为(9.13±1.28)d,观察组明显短于对照组,差异有统计学意义(P<0.05)。观察组患者治疗总有效率为97.78%,对照组为82.22%,对照组明显低于观察组,差异有统计学意义(P<0.05)。观察组并发症发病率为22.22%,对照组为6.67%,观察组明显低于对照组,差异有统计学意义(P<0.05)。结论对甲状腺瘤患者采用小切口切除术治疗法,能有效缩短患者的手术时间以降低手术风险,且对控制其术中出血量、提高其术后疗效具有显著作用,治疗效果较佳,可推广。 Objective To observe the effect of mini-incision surgery in the treatment of thyroid tumors. Methods 90 patients with thyroid tumor cured in our hospital were selected as the research objects.They were divided into control group and observation group.Patients in control group were treated with conventional incision surgery,and patients in observation group were treated with mini-incision surgery.The treatment effects of the two groups were compared. Results The operative incision length of patients in observation group was(3.86±1.11)cm,and the control group was(7.12±1.23)cm.The observation group was significantly shorter than the control group(P〈0.05).The amount of bleeding during treatment of patients in observation group was(36.59±4.21)mL,and the control group was(89.34±4.51)mL. The observation group was significantly lower than the control group(P〈0.05).The operation time of patients in observation group was(59.33±18.67)min,and the control group was(96.02±19.21)min.The observation group was significantly shorter than the control group(P〈0.05).The length of stay of patients in observation group was(3.22±1.47)d,and the control group was(9.13±1.28)d.The observation group was significantly shorter than the control group(P〈0.05).The total effective rate of patients in observation group was 97.78%,and the control group was 82.22%.The observation group was significantly lower than the control group(P〈0.05).The complication rate of patients in observation group was 22.22%,and the control group was 6.67%.The observation group was significantly lower than the control group(P〈0.05). Conclusion The mini-incision surgery in the treatment of thyroid tumors could shorten the operation time of the patients,reduce operation risk.It had a significant effect on controlling the amount of bleeding during operation and improving the postoperative curative effect.And its treatment effect was better.It was worthy of promoting.
作者 黄锡冰
出处 《中国医药科学》 2016年第13期196-198,210,共4页 China Medicine And Pharmacy
关键词 甲状腺瘤 小切口切除术 手术治疗 常规切口切除 Thyroid tumors Mini-incision Surgical treatment Conventional incision
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