低位小切口切除術與傳統手術治療甲狀腺瘤的效果對比

史光華

[摘要] 目的 對比分析甲狀腺瘤疾病采用低位小切口切除術與傳統手術的療效差異性。 方法 方便選擇2016年3月—2018年12月期間該院收治的甲狀腺瘤患者106例作為該次研究對象，隨機將患者分為觀察組與對照組，對照組患者均采取傳統手術方式治療，觀察組患者均采取低位小切口切除術治療，比較兩組患者治療效果、分析患者術中出血量、切口長度、手術總用時、術后引流量、總住院時間差異性，計算患者不良反應發生率進行對比。結果 觀察組患者治療總有效率98.11%明顯高于對照組83.02%（χ2=7.067，P<0.05），且術中出血量、術后引流量低于對照組，切口長度較短、手術總用時、患者總住院時間均少于對照組（t=20.154、4.775、14.185、2.917、15.731，P<0.05），觀察組不良反應發生率低于對照組（χ2=7.102，P<0.05）。結論 甲狀腺瘤患者采用低位小切口切除術治療效果更佳，便于患者更快恢復，值得臨床推廣。

[關鍵詞] 低位小切口切除術;傳統手術;甲狀腺瘤;效果

[中圖分類號] R736? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 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

甲狀腺瘤是臨床較為常見的頭頸處腫瘤疾病，以女性患者居多。臨床癥狀表現為頸前正中處存在腫塊，會伴隨咀嚼、吞咽等動作上下活動，一些患者甚至出現發聲困難、吞咽障礙、呼吸窘迫等，概因甲狀腺瘤壓迫食管、氣管、神經等所致[1]。甲狀腺瘤可分為良性腫瘤與惡性腫瘤兩類，如良性腫瘤沒有得到及時治療可能發展為惡性腫瘤。以往臨床治療該疾病多采用傳統手術療法，但因切口較大、術后疤痕明顯等無法滿足患者對療效的需求[2]。該文針對該院2016年3月—2018年12月接收的106例甲狀腺瘤患者分別實施低位小切口切除術、傳統手術治療的臨床效果進行對比分析，現報道如下。

1? 資料與方法