低位小切口切除术与传统手术治疗甲状腺瘤的效果对比

史光华

[摘要] 目的 对比分析甲状腺瘤疾病采用低位小切口切除术与传统手术的疗效差异性。 方法 方便选择2016年3月—2018年12月期间该院收治的甲状腺瘤患者106例作为该次研究对象，随机将患者分为观察组与对照组，对照组患者均采取传统手术方式治疗，观察组患者均采取低位小切口切除术治疗，比较两组患者治疗效果、分析患者术中出血量、切口长度、手术总用时、术后引流量、总住院时间差异性，计算患者不良反应发生率进行对比。结果 观察组患者治疗总有效率98.11%明显高于对照组83.02%（χ2=7.067，P<0.05），且术中出血量、术后引流量低于对照组，切口长度较短、手术总用时、患者总住院时间均少于对照组（t=20.154、4.775、14.185、2.917、15.731，P<0.05），观察组不良反应发生率低于对照组（χ2=7.102，P<0.05）。结论 甲状腺瘤患者采用低位小切口切除术治疗效果更佳，便于患者更快恢复，值得临床推广。

[关键词] 低位小切口切除术;传统手术;甲状腺瘤;效果

[中图分类号] R736          [文献标识码] A          [文章编号] 1674-0742（2019）10（b）-0066-03

[Abstract] Objective To compare and analyze the difference of curative effect between low-level small incision and traditional surgery for thyroid tumor disease. Methods A total of 106 patients with thyroid tumor admitted to the hospital from March 2016 to December 2018 were convenient selected and enrolled. The Patients were randomLy divided into observation group and control group. The control group were treated with traditional operation. Observation group of patients underwent low-level small incision resection. The therapeutic effects of the two groups were compared. The intraoperative blood loss， incision length， total operation time， postoperative drainage volume， and total hospitalization time were compared. The incidence of adverse reactions was calculated. Results The total effective rate of the observation group was 98.11%， which was significantly higher than that of the control group 83.02%（χ2=7.067， P<0.05）. The intraoperative blood loss and Postoperative drainage volume were lower than the control group. The length of the incision was shorter and the total operation time was used. The total hospital stay was lower than that of the control group （t=20.154， 4.775， 14.185， 2.917， 15.731， P<0.05）. The incidence of adverse reactions in the observation group was lower than that in the control group（χ2=7.102， P<0.05）. Conclusion Patients with thyroid tumors have better treatment with lower small incision and better recovery of Patients. It is worthy of clinical Promotion.

[Key words] Low-level small incision resection; Traditional surgery; Thyroid tumor; Effect

甲狀腺瘤是临床较为常见的头颈处肿瘤疾病，以女性患者居多。临床症状表现为颈前正中处存在肿块，会伴随咀嚼、吞咽等动作上下活动，一些患者甚至出现发声困难、吞咽障碍、呼吸窘迫等，概因甲状腺瘤压迫食管、气管、神经等所致[1]。甲状腺瘤可分为良性肿瘤与恶性肿瘤两类，如良性肿瘤没有得到及时治疗可能发展为恶性肿瘤。以往临床治疗该疾病多采用传统手术疗法，但因切口较大、术后疤痕明显等无法满足患者对疗效的需求[2]。该文针对该院2016年3月—2018年12月接收的106例甲状腺瘤患者分别实施低位小切口切除术、传统手术治疗的临床效果进行对比分析，现报道如下。

1  资料与方法