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低位小切口切除术治疗甲状腺瘤的疗效及安全性分析 被引量:35

The Efficacy and Safety of Low Small Incision Thyroidectomy for Thyroid Tumor
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摘要 目的探讨低位小切口切除术治疗甲状腺瘤的临床疗效及安全性。方法将150例甲状腺瘤患者根据随机数字法分为对照组(传统手术切除术)和观察组(低位小切口切除术),每组各75例,比较2组术中、术后情况,以及并发症发生情况。结果与对照组相比,观察组切口大小、手术时间、术中出血量均明显减少,P<0.05;与对照组相比,观察组术后48 h引流量、住院时间均明显减少,美观评分明显增高,P<0.05。与对照组相比,观察组颈区感觉异常、疼痛,切口粘连,皮下结节,吞咽不便等并发症发生率均显著降低,P<0.05。结论低位小切口切除术治疗甲状腺瘤具有疗效显著、恢复快、并发症少、安全性高等特点,值得临床推广。 Objective To study the clinical efficacy and safety of low small incision thyroidectomy for thyroid tumor. Methods 150 patients with thyroid tumor were randomized into the control group ( traditional thyroidectomy) and the observation group( low small incision thyroidectomy)according to the random number method,75 patients per group. The operation and com- plications in the 2 groups were compared. Results Compared with the control group, the incision size, operation time, bleeding volume were significantly reduced in the observation group ( P 〈 0.05 ) ; compared with the control group, postoperative 48 h drainage and hospitalization time obviously decreased, while the beauty scores significantly increased in the observation group (P 〈 0.05 ) ; compared with the control group, the incidence of postoperative complications including paresthesia and pain in neck ar- ea, incision adhesion, subcutaneous nodules, swallowing inconvenience significantly decreased in the observation group (P 〈 O. 05 ). Conclusion The low small incision thyroidectomy for thyroid tumor is effective with quick recovery, less complications and high safety, and it is worthy of clinical promotion.
作者 王隽 权红光
出处 《实用癌症杂志》 2016年第8期1314-1316,共3页 The Practical Journal of Cancer
关键词 低位小切口切除术 甲状腺瘤 疗效 安全性 Low small incision thyroidectomy Thyroid tumor Efficacy Safety
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