小切口甲状腺切除术治疗甲状腺结节疗效观察

目的：比较小切口甲状腺切除术与传统大切口甲状腺切除术治疗甲状腺结节的疗效及安全性。方法选择94例甲状腺结节患者，根据术式不同分为小切口组47例与对照组47例。小切口组患者选择小切口甲状腺切除术，对照组患者选择传统的大切口甲状腺切除术。观察并比较两组患者的治疗效果及安全性。结果小切口组手术时间（48．76±10．37） min]、术中出血量（39．57±7．68） mL]、切口长度（3．57±0．68）cm]、住院时间（4．89±1．13）d]均少于对照组（54．07±11．64）min、（64．16±7．98）mL、（6.88±0.65）cm、（5．47±1．32）d]（t＝2．13、3．12、3．96、2．14，P＜0．05或P＜0．01），小切口组不良反应发生率（10.6％）明显低于对照组（29．8％）（χ2＝5．34，P＜0．05）。结论小切口甲状腺切除术治疗甲状腺结节较传统的手术方式具有手术创伤小、术中出血少、术后恢复快、美容效果佳、不良反应少等优点。

Curative effect of small incision thyroidectomy on thyroid nodule

Objective To discuss the curative effect of small incision thyroidectomy on thyroid nodule . Methods 94 patients with thyroid nodule were selected and divided into the small incision group and control group according to different modes of operation ,47 cases in each group .The patients in small incision group were given small incision thyroidectomy ,while the patients in control group were given the traditional big incision thyroidectomy .The curative effect and security in the two groups were observed and compared .Results The operation time,intraoperative amount of bleeding ,length of incision and length of hospital stay in the small incision group were （48.76 ±10.37） min, （39.57 ±7.68）mL,（3.57 ±0.68）cm（4.89 ±1.13）d,which were significantly less than those in the control group （54.07 ±11.64）min,（64.16 ±7.98）mL,（6.88 ±0.65）cm,（5.47 ±1.32）d]（t=2.13,3.12,3.96,2.14,P〈0.05 or P〈0.01）.The incidence rate of adverse reactions in small incision group was 10.6%,which was significant-ly lower than 29.8%in control group （χ2 =5.34,P〈0.05）.Conclusion Compared with traditional mode of opera-tion,small incision thyroidectomy has following advantages on thyroid nodule ,smaller operation wound ,less intraopera-tive amount of bleeding ,quicker postoperative recovery ,better cosmetic effect ,less adverse reactions ,etc.