小切口与传统开放手术治疗甲状腺肿瘤的效果比较(1)
[摘要] 目的 探讨小切口手术治疗甲状腺肿瘤的效果。 方法 选取本院收治的398例甲状腺肿瘤患者作为研究对象，根据手术方法的不同分为观察组(268例)和对照组(130例)。观察组采用小切口切除术治疗，对照组采用传统甲状腺切除术治疗，比较两组的手术时间、切口长度、术中出血量、术后住院时间及并发症发生率。 结果 观察组的手术时间、切口长度及术后住院时间显著短于对照组，差异有统计学意义(P<0.01)。观察组的术中出血量显著少于对照组，差异有统计学意义(P<0.01)。观察组的术后并发症发生率显著低于对照组，差异有统计学意义(P<0.05)。 结论 采用小切口手术治疗甲状腺肿瘤可获得较好的治疗效果和美容效果，具有创伤小、美观、操作简便、恢复快等优点，值得临床推广应用。
[关键词] 甲状腺肿瘤；手术；小切口
[中图分类号] R736.1 [文献标识码] A [文章编号] 1674-4721(2015)01(b)-0056-03
Effect comparison of small incision and traditional open operation in the treatment of thyroid tumor
HUANG Shu-wei
Red Cross Hospital of Luoding City in Guangdong Province，Luoding 527200，China
[Abstract] Objective To explore the effect of small incision operation in the treatment of thyroid tumor. Methods 398 cases with thyroid tumor in our hospital were selected and divided into the observation group(268 cases) and the control group(130 cases) according to different surgical methods.The observation group was treated with small incision resection，the control group was treated with traditional thyroidectomy.Operation time，incision length，intraoperative blood loss，postoperative hospitalization time and incidence of complications was compared respectively. Results Operation time，incision length，postoperative hospitalization time in the observation group was shorter than that in the control group，with significant difference(P<0.01).Intraoperative blood loss in the observation group was less than that in the control group，with significant difference(P<0.01).The incidence of complications was lower than that in the control group，with significant difference(P<0.05). Conclusion Small incision operation in the treatment of thyroid tumor can obtain a favorable therapeutic effect and cosmetic result，which has advantages of small wound，beauty，easy performance and quick recovery，it is worthy of clinical promotion and application.
[Key words] Thyroid tumor；Operation；Small incision
甲状腺肿瘤为普外科常见疾病，是颈部最为常见的肿瘤，其发生率近年来呈逐年上升趋势[1-2]。甲状腺肿瘤大多数为良性，但是由于肿瘤的占位，可能会导致患者出现颈部不适、呼吸困难、吞咽困难等临床症状，从而严重影响生活质量。目前，手术治疗仍是甲状腺肿瘤的主要治疗方法[3-4]，传统甲状腺切除术创口较大，在治疗后可能会出现较大不适，且切口于颈部显露，严重影响美观，尤其是对于女性患者[5]。本研究选取本院的398例甲状腺肿瘤患者作为研究对象，分为两组，分别采用小切口手术和传统开放手术进行治疗，比较其效果。
1 资料与方法
1.1 一般资料
选取2003年2月～2013年5月本院收治的398例甲状腺肿瘤患者作为研究对象，根据手术方法的不同分为观察组(268例)和对照组(130例)。观察组中，男84例，女184例；年龄22～66岁，平均(41.8±12.5)岁；病程15 d～6年，平均(3.1±1.2)年；术前检查显示瘤体直径为0.6～7.5 cm，平均(3.5±0.8)cm；其中单发甲状腺结节185例，双侧甲状腺结节81例。对照组中，男39例，女91例；年龄23～65岁，平均(42.1±12.3)岁；病程1个月～6年，平均(3.1±1.2)年；术前检查显示瘤体直径为0.7～7.7 cm，平均(3.6±0.8) cm；其中单发甲状腺结节89例，双侧甲状腺结节41例。所有患者均于术前经B超等常规检查确诊为甲状腺肿瘤，且均无颈部手术史。两组的性别、年龄、病程等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。 (黄树伟)
[关键词] 甲状腺肿瘤；手术；小切口
[中图分类号] R736.1 [文献标识码] A [文章编号] 1674-4721(2015)01(b)-0056-03
Effect comparison of small incision and traditional open operation in the treatment of thyroid tumor
HUANG Shu-wei
Red Cross Hospital of Luoding City in Guangdong Province，Luoding 527200，China
[Abstract] Objective To explore the effect of small incision operation in the treatment of thyroid tumor. Methods 398 cases with thyroid tumor in our hospital were selected and divided into the observation group(268 cases) and the control group(130 cases) according to different surgical methods.The observation group was treated with small incision resection，the control group was treated with traditional thyroidectomy.Operation time，incision length，intraoperative blood loss，postoperative hospitalization time and incidence of complications was compared respectively. Results Operation time，incision length，postoperative hospitalization time in the observation group was shorter than that in the control group，with significant difference(P<0.01).Intraoperative blood loss in the observation group was less than that in the control group，with significant difference(P<0.01).The incidence of complications was lower than that in the control group，with significant difference(P<0.05). Conclusion Small incision operation in the treatment of thyroid tumor can obtain a favorable therapeutic effect and cosmetic result，which has advantages of small wound，beauty，easy performance and quick recovery，it is worthy of clinical promotion and application.
[Key words] Thyroid tumor；Operation；Small incision
甲状腺肿瘤为普外科常见疾病，是颈部最为常见的肿瘤，其发生率近年来呈逐年上升趋势[1-2]。甲状腺肿瘤大多数为良性，但是由于肿瘤的占位，可能会导致患者出现颈部不适、呼吸困难、吞咽困难等临床症状，从而严重影响生活质量。目前，手术治疗仍是甲状腺肿瘤的主要治疗方法[3-4]，传统甲状腺切除术创口较大，在治疗后可能会出现较大不适，且切口于颈部显露，严重影响美观，尤其是对于女性患者[5]。本研究选取本院的398例甲状腺肿瘤患者作为研究对象，分为两组，分别采用小切口手术和传统开放手术进行治疗，比较其效果。
1 资料与方法
1.1 一般资料
选取2003年2月～2013年5月本院收治的398例甲状腺肿瘤患者作为研究对象，根据手术方法的不同分为观察组(268例)和对照组(130例)。观察组中，男84例，女184例；年龄22～66岁，平均(41.8±12.5)岁；病程15 d～6年，平均(3.1±1.2)年；术前检查显示瘤体直径为0.6～7.5 cm，平均(3.5±0.8)cm；其中单发甲状腺结节185例，双侧甲状腺结节81例。对照组中，男39例，女91例；年龄23～65岁，平均(42.1±12.3)岁；病程1个月～6年，平均(3.1±1.2)年；术前检查显示瘤体直径为0.7～7.7 cm，平均(3.6±0.8) cm；其中单发甲状腺结节89例，双侧甲状腺结节41例。所有患者均于术前经B超等常规检查确诊为甲状腺肿瘤，且均无颈部手术史。两组的性别、年龄、病程等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。 (黄树伟)