摘要
目的:探讨甲状腺良性病变手术时采用小切口联合整形外科缝合技术的临床疗效及其对基层医院专科发展的意义。方法:选取2014年10月-2016年10月本院324例甲状腺良性病变患者。按照病变部位与手术方法不同分为单侧小切口手术组(n=51)、单侧常规手术组(n=78),双侧小切口手术组(n=77)与单侧常规手术组(n=118)。单、双侧常规手术组切口长度为5~7 cm,单、双侧小切口手术组切口长度为2.5~3.5 cm并联合整形外科缝合技术。比较手术情况及并发症发生情况。结果:单、双侧小切口手术组切口长度及出血量均低于单、双侧常规手术组,而手术时间均长于单双侧常规手术组(P<0.05)。单、双侧小切口手术组与单、双侧常规手术组的并发症发生率比较,差异均无统计学意义(P>0.05)。结论:小切口联合整形外科缝合技术治疗甲状腺良性病变时,虽手术时间较常规手术时间长,但其创伤小,是器械设施有限的基层医院进行甲状腺良性病变手术时的理想选择之一,值得基层医院开展,促进专科发展。
Objective: To investigate the clinical efficacy of small incision combined with plastic surgery stitching technique in the surgery for benign thyroid lesions and its significance to the development of basic hospital specialties. Method: From October 2014 to October 2016, 324 patients with benign thyroid lesions in our hospital were selected. According to the lesion site and different surgical methods, they were divided into the unilateral small incision surgery group(n=51), the unilateral conventional surgery group(n=78), the bilateral small incision surgery group(n=77) and the unilateral conventional surgery group(n=118). The incision length of the unilateral and bilateral conventional surgery group was 5-7 cm, while the incision length of the unilateral and bilateral small incision surgery group was 2.5-3.5 cm and combined with plastic surgery stitching technique. The surgical conditions and complications were compared. Result: The incision length and bleeding volume of the unilateral and bilateral small incision surgery group were lower than those of the unilateral and bilateral conventional surgery group, while the operation time were longer than those of the unilateral and bilateral conventional surgery group(P<0.05). There were no significant differences in complication rate between the unilateral, bilateral small incision surgery group and conventional surgery group(P>0.05). Conclusion: Small incision combined with plastic surgery stitching technique for the treatment of benign thyroid lesions, although the operation time is longer than the conventional surgery time, but the trauma is small, it is one of the ideal choices for the operation of benign thyroid lesions in primary hospitals with limited equipment and facilities, and worth carrying out in primary hospitals to promote the development of specialties.
作者
黄强
胡小卫
邱建
夏兰江
赵伟
熊倩
龙航
HUANG Qiang;HU Xiaowei;QIU Jian;XIA Lanjiang;ZHAO Wei;XIONG Qian;LONG Hang(The First People’s Hospital of Bijie City,Bijie 551700,China)
出处
《中国医学创新》
CAS
2020年第2期101-105,共5页
Medical Innovation of China
基金
贵州省毕节市科技局资助项目(毕科联合字Y[2014]052号)。
