汪波

[摘要] 目的 探析甲状腺良性病变进行改良小切口甲状腺次全切术疗法的临床效果。方法 随机选取该院2013年6月—2014年5月甲状腺良性病变病人80例，根据随机数字表法分为对照组、实验组，每组40例，实验组进行改良小切口甲状腺次全切术疗法，对照组进行常规甲状腺全切术疗法，比较两组的住院时间、切口大小、术中出血量、手术时间、颈部皮肤感觉异常时间等指标；比较两组的复发情况和并发症发生情况。 结果 实验组的住院时间、切口大小、术中出血量、手术时间、颈部皮肤感染异常时间等指标显著优于对照组，差异有统计学意义（P<0.05）；实验组的复发情况和并发症发生情况显著低于对照组，差异有统计学意义（P<0.05）。结论 甲状腺良性病变进行改良小切口甲状腺次全切术疗法，高度微创，可减低术后复发和并发症的发生，术后可迅速康复，对病人的颈部正常活动影响较小，值得临床推广。

[关键词] 临床观察；改良小切口；甲状腺次全切术

[中图分类号] R653 [文献标识码] A [文章编号] 1674-0742（2015）09（a）-0075-02

Application of Improved Mini-Incision Subtotal Thyroidectomy in the Benign Thyroid Disease

WANG Bo

Department of Thyroid &Breast Surgery， Changshu First People's Hospital， Changshu， Jiangsu Province， 215500 China

[Abstract] Objective To study the clinical effect of improved mini-incision subtotal thyroidectomy in the treatment of benign thyroid disease. Methods 80 patients with benign thyroid disease treated from June 2013 to May 2014 in our hospital were selected and randomly divided into control group and experimental group， 40 cases in each group. The experimental group adopted the improved mini-incision subtotal thyroidectomy and control group adopted the conventional subtotal thyroidectomy. The indicators including hospitalization time， size of incision， intraoperative blood loss， operation time， paresthesia time of neck skin etc， as well as the recurrences and incidences of complications of the two groups were compared. Results The indicators like hospitalization time， size of incision， intraoperative blood loss， operation time， paresthesia time of neck skin of experimental group were significantly better than those of control group， P<0.05；the recurrence rate and incidence rate of complications of experimental group was significantly lower than that of control group， P<0.05. Conclusion The improved mini-incision subtotal thyroidectomy can reduce the postoperative recurrences and incidences of complications， promote the patient's recovery and has fewer impacts on the normal cervical movements. It is worthy of clinical promotion.

[Key words] Clinical observation； Improved mini-incision； Subtotal thyroidectomy

甲状腺良性病变包括甲状腺腺瘤、结节性甲状腺肿、亚急性甲状腺炎等，临床女性发病率较高[1-2]。探析甲状腺良性病变的最佳治疗方案具有重要的临床价值，故随机选取该院2013年6月—2014年5月收治的甲状腺良性病变病人80例为研究对象，对甲状腺良性疾病病人予以改良小切口甲状腺次全切术疗法，效果满意，现报道如下。

1 资料与方法

1.1 一般资料

入选该院2013年6月—2014年4月甲状腺良性病变病人80例。入选标准：符合中华医学会内分泌科学会制定的甲状腺良性病变的诊断标准[3]；经相关临床特征、影像学检查、实验室检查确诊为甲状腺良性病变病人。根据随机数字表法对照组男20例，女20例，平均年龄（42.6±2.6）岁，甲状腺功能亢进10例，甲状腺腺瘤12例，结节性甲状腺肿8例，亚急性甲状腺炎10例。……