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目的探讨小切口治疗甲状腺腺瘤的临床治疗效果。方法回顾性分析我院收治的83例甲状腺腺瘤患者,随机分为治疗组42例,采用小切口手术治疗;对照组41例,采用传统手术治疗,比较两组治疗疗效。结果治疗组没有任何发音及吞咽动作的障碍发生,无任何严重并发症发生,有5例术后出现少量渗出,不良反应发生率为11.9%。对照组9例患者术中出现头晕、心慌等症状,3例损伤甲状旁腺,造成甲状旁腺功能损伤,有5例术后出现少量渗出,不良反应发生率为41.5%。治疗组就手术时间、出血量、治愈率、不良反应率均优于对照组。结论小切口治疗甲状腺腺瘤优于传统手术治疗,值得临床推广使用。
Objective To investigate the clinical effect of small incision in the treatment of thyroid adenoma. Methods A retrospective analysis of 83 patients with thyroid adenoma admitted to our hospital was randomly divided into treatment group (42 cases) and surgical treatment with small incision. In the control group, 41 cases were treated with traditional surgery. The curative effect was compared between the two groups. Results There were no vocal and swallowing disorders in the treatment group. No severe complications occurred. There was a small amount of postoperative complications in 5 patients. The adverse reaction rate was 11.9%. In the control group, 9 patients experienced dizziness, palpitation, and other symptoms during the operation. 3 cases suffered from parathyroid injury, which resulted in parathyroid dysfunction. 5 cases showed postoperative effusion and the incidence of adverse reactions was 41.5%. The treatment group had better operation time, blood loss, cure rate and adverse reaction rate than the control group. Conclusion Small incision for thyroid adenoma is superior to traditional surgical treatment and worthy of clinical application.