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小切口与大切口甲状腺切除术的临床对照研究
引用本文:马银斌,李伟,康存芳,杨能俊. 小切口与大切口甲状腺切除术的临床对照研究[J]. 重庆医学, 2011, 40(18): 1793-1794,1796. DOI: 10.3969/j.issn.1671-8348.2011.18.011
作者姓名:马银斌  李伟  康存芳  杨能俊
作者单位:四川省绵阳市人民医院甲状腺乳腺外科,621000
摘    要:目的探讨小切口甲状腺切除术的优、缺点。方法将232例甲状腺良性肿瘤切除术患者按入院顺序编号,采用随机数字表随机分为小切口组和大切口组,分别于胸骨切迹上2 cm处,行横向弧形切口长5.0~6.0 cm与2.5~4.0 cm的甲状腺全切或次全切除术。结果小切口组与大切口组比较,术中出血量、术后住院日期及住院费用差异无统计学意义(P>0.05);小切口组手术时间比大切口组长(P<0.05),但美容满意度比大切口组高(P<0.05)。结论小切口甲状腺切除术虽然手术时间较长,但安全、可行,美容效果好,易在基层医院推广。

关 键 词:甲状腺切除术  病例对照研究  小切口  大切口

Clinical comparative study on thyroidectomy through small and big cervical incision
Ma Yinbin,Li Wei,Kang Cunfang,Yang Nengjun. Clinical comparative study on thyroidectomy through small and big cervical incision[J]. Chongqing Medical Journal, 2011, 40(18): 1793-1794,1796. DOI: 10.3969/j.issn.1671-8348.2011.18.011
Authors:Ma Yinbin  Li Wei  Kang Cunfang  Yang Nengjun
Affiliation:Ma Yinbin,Li Wei,Kang Cunfang,Yang Nengjun(Department of Breast and Thyroid Surgery,Mianyang People's Hospital,Mianyang,Sichuan 621000,China)
Abstract:Objective To study advantages and disadvantages of thyroidectomy through small cervical incision.Methods 232 cases of thyroid benign tumor which would undergo thyroidectomy randomly divided into small incision group and big incision group according to their hospital sequence number and random number table.Total or subtotal thyroidectomy located 2 cm above sternal notch with 5.0 to 6.0 cm or 2.5 to 4.0 cm horizontal arc incision were performed for small or big incision groups,respectively.Results Bleeding vo...
Keywords:thyroidectomy  case-control studies  small incision  big incision  
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