王岩++李鹏飞++严斌

[摘要] 目的 探討小切口甲状腺切除术治疗甲状腺结节的临床疗效，并与传统甲状腺切除术的临床疗效进行比较。方法 选择我院 2009年1月～2016年1 月收治的 80例甲状腺良性结节患者，应用随机数字表法随机分为小切口组和对照组（采用传统甲状腺切除术），每组40例，比较两组各项手术观察指标：包括手术时间、术中出血量、手术时间、住院时间。两组患者手术并发症发生率。 结果 小切口组患者的切口长度明显短于对照组，差异有统计学意义（P<0.05）。小切口组患者的术中出血量（40.75±15.26）mL，明显少于对照组，差异有统计学意义（P<0.05）。小切口组患者的手术时间（40.11±6.75） min，明显短于对照组，差异有统计学意义（P<0.05）。小切口组患者的住院时间（6.11±1.34）d，明显短于对照组，差异有统计学意义（P<0.05）。小切口组患者发生切口粘连、吞咽不适、术后皮下水肿的发生率显著低于对照组（P<0.05）。 结论 小切口甲状腺切除术治疗甲状腺结节的临床疗效确切，其疗效明显优于传统甲状腺切除术的临床疗效，有利于提高患者的生活质量，值得推广和应用。

[关键词] 小切口甲状腺切除术；传统甲状腺切除术；甲状腺结节；并发症

[中图分类号] R581 [文献标识码] B [文章编号] 1673-9701（2017）03-0033-04

Comparison curative effect of small incision thyroidectomy and traditional thyroidectomy in threatment of thyroid nodules

WANG Yan1 LI Pengfei2 YAN Bin3

1.Department of General Surgery， Beilun District Hospital of Traditional Chinese Medicine of Ningbo， Ningbo 315800 China；2.Department of General Surgery， Beilun District People's Hospital of Ningbo， Ningbo 315800， China；3.Department of Cerebral Surgery， Beilun District Hospital of Traditional Chinese Medicine of Ningbo， Ningbo 315800，China

[Abstract] Objective To investigate the clinical efficacy of small incision thyroidectomy for thyroid nodules， and compared with that of traditional thyroidectomy. Methods A total of 80 cases patients with benign thyroid nodules in our hospital from January 2009 to January 2016 were randomly divided into small incision group and the control group （traditional thyroidectomy）， with 40 cases in each group. The operation time， intraoperative blood loss， operation time，hospital stay and the incidence of surgical complications in two groups were compared. Results The small incision length in small incision group was significantly shorter than that in control group， there was significant difference between two groups（P<0.05）. The intraoperative blood loss of small incision group was（40.75±15.26）mL， which was significantly less than that of control group（P<0.05）. The operation time of the small incision group was （40.11±6.75）min， that was significantly shorter than the control group， there was significant difference（P<0.05）. In small incision group， the hospitalization time was（6.11±1.34）d， which was significantly shorter than the control group（P<0.05）. The incidence of incision adhesion， dysphagia and wound pain in small incision group was significantly lower than those in control group（P<0.05）. Conclusion The clinical curative effect of small incision thyroidectomy in treatment of thyroid nodules is exactly， the clinical curative effect is obviously superior to the traditional thyroidectomy， patients with benign thyroid nodules are conducive to improve the quality of life， and it is worthy of promotion and application.

[Key words] Small incision thyroidectomy； Traditional thyroidectomy； Thyroid nodules； Complication

甲状腺结节为外科的常见病、多发病，多为单侧良性结节，好发于女性。甲状腺结节主要包括结节性甲状腺肿、甲状腺腺瘤等[1]。目前手术为治疗甲状腺结节的主要方法，但传统开放性手术缺点较多，如切口较长、出血多、术后并发症多，如易产生疼痛、粘连等多种并发症、且颈部切口愈合后会留有瘢痕，影响美观[2]。近年来，小切口甲状腺切除术已经广泛应用于甲状腺结节的临床治疗，并取得了较好的效果，本研究通过回顾性总结分析我院 2009年1月～2016年1 月收治的 80例甲状腺良性结节患者的临床资料，旨在探讨小切口甲状腺切除术治疗甲状腺结节的临床疗效，并与传统甲状腺切除术的临床疗效进行对比，现报道如下。

1 资料与方法

1.1 一般资料

选择我院 2009年1月～2016年1月收治的80例甲状腺良性结节患者，排除病理检查提示为恶性肿瘤、以及其他脏器功能障碍者，术前患者均签署知情同意书。……