摘要
目的探讨甲状腺双叶次全切除术后3种不同引流切口的应用效果。方法180例行甲状腺双叶次全切除术患者随机分为三纽，每组60例，A组引流切口位于胸骨上窝，B组位于切口外侧皮纹处，C组经原切口一端引出。比较三组患者术后引流量、置管时间、患者满意度及并发症情况。结果三组患者均未出现切口感染，B组、C组在引流量、颈部积液、颈部牵拉不适感、置管时间方面与A组比较差异有统计学意义（P〈0．05）；在切口疼痛程度及患者满意度方面，C组较A组、B组具有优势（P〈0．01）。结论甲状腺双叶次全切除术经原切口一端留置引流管具有明显优势，值得临床推广。
Objective To investigate the application effect of three different drainage incision after double subtotal thyroidectomy. Methods A total of 180 patients with double subtotal thyroidectomy were randomly divided into group A, group B, group C and each of 60 cases. The drainage incision of group A was selected at the suprasternal fossa, group B was selected at the incision dermatoglyph, group C was selected at one end of the quondam incision. The drainage volume, drainage tube detaining time, degree of satisfaction and complications of the three groups were compared. Results There was no case with incision of infection among the three groups, drainage volume, hydrocele of neck discomfort of neck and the time of insertion in group B and group C were significantly different compared with group A, the difference was statistically significant（ P 〈 0. 05 ）. The pain degree and the degree of satisfaction of group C had more advantages than that of group A and group B（P 〈0. 01 ）. Conclusions Double subtotal thy- roidectomy with drainage tube at the end of the original incision has obvious advantages and is worthy of clinical promotion.
作者
冯传波
邵华
王钟林
苗永昌
姚壮凯
Feng Chuanbo Shao Hua Wang Zhonglin Miao Yongchang Yao Zhuangkai(Department of General Surgery, the Second People＇ s Hospital of Lianyungang, Lianyungang 222000, Chin)
出处
《中国实用医刊》
2017年第18期22-24,共3页
Chinese Journal of Practical Medicine
关键词
甲状腺次全切除术
引流切口
效果
Double subtotal thyroidectomy
Drainage incision
Effect
