摘要
目的探讨甲状腺侧叶切除术治疗孤立性甲状腺结节的临床疗效。方法 100例孤立性甲状腺结节患者,随机分为传统手术组和甲状腺侧叶切除术组,各50例。传统手术组患者实施传统甲状腺结节和周围甲状腺切除术,甲状腺侧叶切除术组实施甲状腺侧叶切除术。分析比较两组患者的手术失血总量、切口长度、手术操作耗时和住院费用及并发症发生情况。结果甲状腺侧叶切除术组手术失血总量、切口长度、手术操作耗时和住院费用分别为(41.34±2.17)ml、(5.34±0.17)cm、(40.21±2.34)min、(4032.34±60.21)元,均优于传统手术组的(76.34±10.17)ml、(6.34±0.37)cm、(67.34±10.24)min、(5632.34±140.17)元,差异有统计学意义(P<0.05)。甲状腺侧叶切除术组并发症发生率低于传统手术组,差异有统计学意义(P<0.05)。结论孤立性甲状腺结节患者实施甲状腺侧叶切除术可获得较好的效果,其可缩短切口长度和手术时间,减少出血和并发症,降低医疗费用。
Objective To discuss the clinical efficacy of lateral thyroidectomy in the treatment of solitary thyroid nodules.Methods A total of 100 patient with solitary thyroid nodules were randomly divided into traditional operation group and lateral thyroidectomy group,with 50 cases in each group.Traditional operation group received traditional thyroid nodule and surrounding thyroidectomy,and lateral thyroidectomy group received lateral thyroidectomy.The total surgical blood loss,incision length,surgical operation time,hospitalization costs and occurrence of complications of the two groups were analyzed and compared.Results The total surgical blood loss,incision length,surgical operation time,hospitalization costs of lateral thyroidectomy group were(41.34±2.17)ml,(5.34±0.17)cm,(40.21±2.34)min and(4032.34±60.21)yuan,which were better than(76.34±10.17)ml,(6.34±0.37)cm,(67.34±10.24)min and(5632.34±140.17)yuan of traditional operation group,and the difference was statistically significant(P<0.05).The incidence of complications of lateral thyroidectomy group was lower than that of traditional operation group,and the difference was statistically significant(P<0.05).Conclusion Patients with solitary thyroid nodules can obtain better results with lateral thyroidectomy,which can shorten the incision length and the operation time,reduce bleeding,complications and medical costs.
作者
罗晓
LUO Xiao(Chaoyang 234 Hospital,Chaoyang 122000,China)
出处
《中国现代药物应用》
2020年第23期40-42,共3页
Chinese Journal of Modern Drug Application
