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目的探讨改良小切口与传统甲状腺切除术治疗甲状腺腺瘤患者的临床疗效。方法选取2012年4月至2016年4月于辽宁省沈阳市康平县人民医院就诊的甲状腺腺瘤患者114例,按随机数字表法将其分为观察组与对照组,各57例。对照组患者行传统甲状腺切除术,观察组患者采用改良小切口手术进行治疗,比较两组患者的手术时间、术中出血量、术后住院时间、切口长度及并发症发生情况。结果观察组患者的手术时间、术后住院时间、切口长度均明显短于对照组,术中出血量明显少于对照组,差异均有统计学意义(均P<0.05);观察组患者的并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论改良小切口手术治疗甲状腺腺瘤疗效确切,具有手术时间短、切口小、安全性高的特点。
Objective To investigate the clinical effect of modified small incision and traditional thyroidectomy in patients with thyroid adenoma. Methods From April 2012 to April 2016, 114 patients with thyroid adenoma were treated in Kangping County People’s Hospital of Shenyang City, Liaoning Province. According to the random number table, they were divided into observation group and control group, 57 cases each. Patients in the control group underwent traditional thyroidectomy. Patients in the observation group were treated with modified small incision. The operation time, intraoperative blood loss, postoperative hospital stay, incision length and complication were compared between two groups. Results The operation time, postoperative hospital stay and incision length in the observation group were significantly shorter than those in the control group. The bleeding volume in the observation group was significantly less than that in the control group (all P <0.05). In the observation group, The incidence of disease was significantly lower than that of the control group, the difference was statistically significant (P <0.05). Conclusion Modified small incision surgery for the treatment of thyroid adenoma is effective, with short operation time, small incision, high safety.