超低位颈前小切口手术治疗甲状腺腺瘤48例临床分析

目的探讨超低位颈前小切口手术治疗甲状腺腺瘤的方法和术式优点。方法将2009年1月至2010年1月确诊的48例甲状腺腺瘤患者随机分成两组:实验组和对照组各24例。对照组采用传统的甲状腺腺瘤切除术治疗;实验组采用超低位颈前小切口甲状腺腺瘤切除术治疗。观察比较两种术式的术中失血量、术后引流量、手术时间、住院时间、临床疗效、切口美容评分、并发症发生率。结果实验组的术中失血量、术后引流量、手术时间、住院时间以及并发症发生率均明显小于对照组(P<0.05);实验组的临床疗效、切口美容评分均显著性优于对照组(P<0.05)。结论临床应用超低位颈前小切口手术治疗甲状腺腺瘤的效果良好。

Clinical analysis on ultra low anterior cervical incision for resection of thyroid adenoma

Objective To explore the significance of surgical approach for ultra low anterior cervical incision in resection of thyroid adenoma. Methods A total of 48 patients with thyroid adenoma admitted in this hospital during January 2009 to January 2010 were randomly divided into two groups, trial group （ n = 24 ） and control group （ n = 24 ）. Patients in control group were given with traditional surgery procedure for resec- tion of thyroid adenoma, and patients in trial group were given with ultra low anterior cervical incision for resection of thyroid adenoma. The intrao- perative blood loss, volume of postoperative drainage, operating time, duration of hospitalization, clinical efficacy, esthetic scores for incision and incidence of complications in these 2 groups were observed and compared after treatment. Results The intraoperative blood loss, volume of post- operative drainage, operating time, duration of hospitalization and incidence of complications in patients of trial group were significantly less than those of patients in control group（ P 〈 0.05 ）. The clinical efficacy and esthetic scores for incision in patients of trial group were significantly higher than those of patients in control group （ P 〈 0.05 ）. Conclusion The clinical significance of ultra low anterior cervical incision for resection of thyroid adenoma is remarkable.