刘爱军

[摘要] 目的 探讨小切口手术治疗甲状腺瘤的临床效果。 方法 选取2012年2月～2013年12月本院收治的48例甲状腺瘤患者作为研究对象，随机分为对照组与观察组，各24例。观察组采用小切口进行甲状腺瘤切除手术，对照组采用传统甲状腺瘤切除手术方式。比较两组的手术时间、切口大小、术中出血量、住院时间及术后不良反应发生率。 结果 观察组的总有效率显著高于对照组，差异有统计学意义（P<0.05）。观察组的手术时间、住院时间显著短于对照组，切口显著小于对照组，术中出血量显著少于对照组，差异有统计学意义（P<0.05）。观察组的不良反应发生率显著低于对照组，差异有统计学意义（P<0.05）。 结论 采用小切口进行甲状腺瘤手术具有创伤小、操作简便、恢复快、并发症少等优点，能够取得较好的治疗和美容效果，值得临床推广应用。

[关健词] 小切口；手术治疗；甲状腺瘤

[中图分类号] R736.1 [文献标识码] A [文章编号] 1674-4721（2016）03（b）-0068-04

[Abstract] Objective To explore the clinical effect of small incision operation in the treatment of thyroid tumor. Methods 48 thyroid tumor patients from February 2012 to December 2013 in our hospital were selected and randomly divided into the observation group and the control group，24 cases in each group.The observation group was treated with small incision for thyroid adenoma resection surgery，the control group was treated with traditional thyroid adenoma resection surgery.Operation time，incision size，the amount of bleeding during operation，hospital stay and the incidence rate of postoperative adverse reaction in the two groups was compared. Results The total effective rate in the observation group was higher than that in the control group，with significant difference （P<0.05）.The operation time and hospital stay in the observation group was shorter than that in the control group，the incision size in the observation group was smaller than that in the control group，the amount of bleeding during operation in the observation group was less than that in the control group，with significant difference （P<0.05）.The incidence rate of postoperative adverse reaction in the observation group was lower than that in the control group，with significant difference （P<0.05）. Conclusion Using small incisionfor thyroid adenoma resection surgery has advantages of little trauma，ease for operation，recovery fast and less complication，which can get better treatment and cosmetic result，it is worthy of clinical promotion and application.

[Key words] Small incision；Operation treatment；Thyroid tumor

甲状腺瘤是一种由甲状腺滤泡引发的良性肿瘤[1]，为外科常见病和多发病，病因和发病机制尚不明确[2]，可能与性别、遗传因素、射线照射、TSH过度刺激等有关。其主要病理表现为甲状腺滤泡增生[3]，甲状腺体积增大，临床主要表现为颈前部出现包块[4]。多数情况下，瘤体包膜相对完整，边界较为清晰[5]，无脉管浸润现象，属于实体瘤。高分辨率B超检查显示，甲状腺结节阳性率达20%～67%[6]。统计显示，本病在女性中的发病率较高，多见于40岁以下女性，以良性多见，约20%并发甲状腺功能亢进[7-8]，约10%出现恶变可能。本病的发病率呈上升趋势，临床上应尽早手术治疗。本研究选取本院收治的甲状腺瘤患者作为研究对象，采取小切口方式进行治疗，取得了较满意的效果。

1 资料与方法

1.1 一般资料

选取2012年2月～2013年12月本院收治的48例甲状腺瘤患者作为研究对象，随机分为对照组与观察组，各24例，其中单侧腺瘤36例（75%），双侧腺瘤12例（25%）。观察组中，男性6例，女性18例；……