超声刀辅助低位小切口甲状腺手术的疗效分析

目的：探讨超声刀辅助低位小切口甲状腺手术的临床疗效。方法选择100例手术治疗的结节性甲状腺肿患者，采用随机数字表方法分为小切口组和对照组，每组50例，其中小切口组患者采用超声刀辅助低位小切口甲状腺手术方式，对照组采用传统的甲状腺手术方式。观察并比较两组手术时间、切口长度、术中出血量、术后疼痛VAS评分、住院时间及术后并发症出现情况。结果两组患者手术均成功，小切口组患者手术时间、切口长度、术中出血量、住院时间、术后12 h、24 h疼痛评分均少于对照组（ t＝2．91、2．93、2.17、2．22、2．24、2．87，均P＜0．05）；小切口组患者术后并发症发生率为20．0％，明显低于对照组的6．0％（χ2＝4．33，P＜0．05）。结论采用超声刀辅助低位小切口甲状腺手术治疗结节性甲状腺肿较传统甲状腺手术方式具有手术时间短、手术创伤小、术后疼痛轻、手术美容效果好和术后并发症少等优点。

Analysis of the effect of ultrasound knife assisted low small incision thyroid operation

Objective To discuss the clinical curative effect of ultrasound knife assisted low small incision thyroid operation.Methods According to the digital table ,100 patients with nodular goiter who were treated with operation were divided into the small incision group and control group ,50 cases in each group .The patients in small incision group were given the ultrasound knife assisted low small incision thyroid operation , while the patients in control group were given the traditional thyroid operation .The operation time , incision length , operative blood loss , postoperative visual analog scale （VAS） of pain scores,length of stay（LOS） and postoperative complications were observed and compared in the two groups .Results The operations in two groups were both successful .The operation time,incision length,operative blood loss,LOS,VAS of pain scores 12 h and 24 h after the operation in the small inci-sion group were much better than those in the control group （t=2.91,2.93,2.17,2.22,2.24,2.87,all P〈0.05）. The incidence rate of postoperative complication in the small incision group was lower than that in the control group （χ2 =4.33,P〈0.05）.Conclusion Compared with traditional thyroid operation ,ultrasound knife assisted low small incision thyroid operation has the following advantages to treat nodular goiter ：shorter operation time ,smaller operation wound,lighter postoperative pain,better cosmetic effect,less postoperative complication and etc .