小切口改良手术在甲状腺切除中的临床应用研究

目的：探讨小切口改良手术在甲状腺切除术中临床应用价值。方法：选取2012年1月至2012年12月在我院行甲状腺手术患者60例为研究对象，采用对比研究，根据患者手术方式的不同分为传统手术组（30例）和小切口手术组（30例），分析比较两组患者在手术过程中及手术后的相关指标，包括切口大小、手术时间、平均出血量、住院时间、引流量、引流时间、并发症发生率以及美观满意度，探讨其的临床应用价值。结果：60例手术均获得成功，两组患者切口大小、手术时间以及平均出血量差别有统计学意义（ P＜0．05），其中传统手术组的切口大小与平均出血量均大于小切口手术组，其手术时间小于小切口手术组；两组患者住院时间、引流量、引流时间以及并发症发生率相比，差别有统计学意义（P＜0．05），其中传统手术组的各项指标均高于小切口手术组；两种患者术后美观满意度比较，差别有统计学意义（P＜0．05），传统手术组低于小切口手术组。结论：小切口改良手术在甲状腺切除术中具有切口小、并发症发生率小、美观满意度高等优点，值得进一步推广应用。

Clinical Application of Improved Small Incision Surgery in the Thyroidectomy

Objective：To explore clinical value of the improved small incision surgery in the thyroidec-tomy .Method：Selected 60 patients with thyroid surgery in our hospital from January to December 2012 .The patients were divided into conventional traditional surgery group （ 30 cases ） and small incision surgery group （ 30 cases） according to surgical methods .Compared the related indicators of patients in two groups during and after surgery ,all the indicators include incision size , operation time , average blood loss , hospital stay , drainage , drainage time , the incidence of complications and anesthetic satisfaction .Result： 60 cases were operated successfully ,the difference of two groups in incision size , operative time , and average blood loss was statistically singificant （ P ＆lt;0.05 ） .The incision size and average blood loss of the traditional surgery group were more than that of the small incision surgery group .The operative time of the traditional surgery group was less than that of the small incision surgery group .The difference of two groups of patients in hospi-tal stay, drainage, drainage time , the incidence of complications was statistically significant （ P ＆lt;0.05）.All the indicators above of the traditional surgery group were more than that of the small incision surgery group . The difference of two groups of patients in satisfaction of postoperative appearance was statistically significant （ P ＆lt;0.05）.The small incision surgery group was higher than the traditional surgery group .Conclusion：The improved small incision surgery thyroidectomy has the advantage of smaller incision , smaller complication in-cidence , beautiful and high satisfaction ,and worthy of further promotion .