小切口改良甲状腺切除术与传统甲状腺切除术的治疗效果对比

目的 探讨小切口改良甲状腺切除术和传统甲状腺切除术的临床治疗效果。 方法 选取 2012 年 1 月至 2014 年 12 月医院收治的甲状腺切除患者 84 例，随机分成 2 个组，观察组 42 例和对照组 42 例，对照组患者给予传统甲状腺手术方式，观察组患者给予小切口改良甲状腺切除手术方式，观察比较 2 组患者手术时间、术中出血量、术后住院时间和整体治疗效果，并根据 VAS 疼痛评分标准来评估术后患者生活质量。 结果 观察组手术时间平均（85.37±21.35）min、术中出血量平均（21.09±5.48）mL、术后住院时间平均（3.29±0.84）d，明显优于对照组，和对照组平均手术时间（132.67±38.44）min、术中出血量（34.15±5.27）mL、术后住院时间（6.35±1.48）比较，差异均具有统计学意义（P<0.05）；观察组患者治疗有效率 97.62%，对照组治疗有效率 95.38%，比较差异没有统计学意义（P>0.05）；观察组疼痛评分明显低于对照组，术后生活质量高于对照组，2 组比较差异有统计学意义（P<0.05）。 结论 小切口改良甲状腺切除术较传统甲状腺切除术具有手术时间短、术中出血量小、术后住院时间短、生活质量高、治疗效果稳定，是理想的甲状腺切除手术方式。

Observation on treating effects of thyroidectomy and traditional thyroidectomy with modified small incision

Objective To investigate the clinical therapeutic effects with modified small incision in treatingthyroidectomy and traditional thyroidectomy. Methods From 2012 January to 2014 December 84 cases ofpatients with thyroid resection in our hospital were randomly divided into two groups, the observation group of42 cases and control group 42 cases, the patients in the control group were treated with the readitional method,the observation group were treated with modified small incision thyroidectomy operation mode, the operationtime, intraoperative bleeding volume, postoperative hospitalization time and the overall treatment effects ofthe two groups were compared according to the VAS score standard to evaluate the quality of life of patientsafter operation. Results The average operation time (85.37±21.35) min, average amount of bleeding during theoperation of min (21.09±5.48) mL, the average postoperative hospital stay (3.29±0.84) d of the observationgroup was significantly better than that of the control group, and the average operation time (132.67±38.44) min,amount of bleeding during the operation of min (34.15±5.27) mL, postoperative hospital stay (6.35±1.48) d of thecontrol group were higher than that of the observation group, the difference was statistically significant (P<0.05).The effective rate of the observation group was 97.62%, the effective rate of the control group 95.38%, thedifference was not statistically significant (P>0.05). The pain score in the observation group was significantlylower than that of the control group, the quality of life of the patients in the observation group was improvedafter surgery, the difference was statistically significant (P<0.05). Conclusion Compared with the traditionalthyroidectomy, the improved small incision thyroidectomy has shorter operation time, intraoperative bleedingvolume, postoperative hospitalization time is short, quality of life is improved, the treatment effects are stable,which is an ideal way for thyroid resection mode.