小切口微创手术对改善单发甲状腺结节临床症状的效果评价
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摘要
目的:对比分析小切口微创手术对改善单发甲状腺结节临床症状的效果评价。方法:本组研究对象均为接诊的60例单发甲状腺结节患者,随机分为两组,观察组患者采取小切口微创手术,对照组患者采取传统手术。对比两组患者手术时间、术中出血量、完全康复时间、手术切口、术后并发症发生率。结果:观察组患者手术时间(46. 82±2. 54) min、术中出血量(37. 48±2. 84) ml、完全康复时间(3. 17±0. 55) d、手术切口(3. 11±1. 05) cm、术后并发症发生率(13. 33)%显著优于对照组的手术时间(85. 58±4. 15) min、术中出血量(88. 34±5. 21) ml、完全康复时间(8. 26±1. 25) d、手术切口(5. 87±1. 04) cm、术后并发症发生率(43. 33)%,其差异有统计学意义(P <0. 05)。结论:对单发甲状腺结节患者进行小切口微创手术,可显著提高治疗效果,减少组织粘连、声音嘶哑、切口疼痛、颈部麻木等并发症发生率,降低住院时间、术中出血量、缩小手术切口,临床效果较为显著。
Objective To comparatively analyze the effect of minimally invasive surgery on improving the clinical symptoms of single thyroid nodules. Method Sixty single thyroid nodules patients who treated in our hospital were selected,and the patients were randomly divided into two groups. The patients in the observation group received minimally invasive surgery,and the patients in the control group received conventional surgery. The operation time,intraoperative blood loss,complete recovery time,surgical incision,and incidence rate of postoperative complications were compared between two groups. Results The operative time(46. 82 ± 2. 54) min,intraoperative blood loss(37. 48 ± 2. 84) ml,complete recovery time(3. 17 ± 0. 55) d,surgical incision(3. 11 ± 1. 05) cm,and incidence rate of postoperative complication rate(13. 33%) in the observation group were significantly better than those in the control group [operation time(85. 58 ± 4. 15) min,intraoperative blood loss(88. 34 ± 5. 21) ml,complete recovery time(8. 26 ± 1. 25) d,surgical incision(5. 87 ± 1. 04) cm,and incidence rate of postoperative complications(43. 33%) ],and the differences were statistically significant(P < 0. 05). Conclusion The application of minimally invasive surgery on patients with single thyroid nodules can significantly improve the treatment effect,reduce tissue adhesion,hoarseness,incision pain,neck numbness and other complications,reduce the hospital stay and the intraoperative blood loss,and can narrow the surgical incision,the clinical effect is more significant.
Objective To comparatively analyze the effect of minimally invasive surgery on improving the clinical symptoms of single thyroid nodules. Method Sixty single thyroid nodules patients who treated in our hospital were selected,and the patients were randomly divided into two groups. The patients in the observation group received minimally invasive surgery,and the patients in the control group received conventional surgery. The operation time,intraoperative blood loss,complete recovery time,surgical incision,and incidence rate of postoperative complications were compared between two groups. Results The operative time(46. 82 ± 2. 54) min,intraoperative blood loss(37. 48 ± 2. 84) ml,complete recovery time(3. 17 ± 0. 55) d,surgical incision(3. 11 ± 1. 05) cm,and incidence rate of postoperative complication rate(13. 33%) in the observation group were significantly better than those in the control group [operation time(85. 58 ± 4. 15) min,intraoperative blood loss(88. 34 ± 5. 21) ml,complete recovery time(8. 26 ± 1. 25) d,surgical incision(5. 87 ± 1. 04) cm,and incidence rate of postoperative complications(43. 33%) ],and the differences were statistically significant(P < 0. 05). Conclusion The application of minimally invasive surgery on patients with single thyroid nodules can significantly improve the treatment effect,reduce tissue adhesion,hoarseness,incision pain,neck numbness and other complications,reduce the hospital stay and the intraoperative blood loss,and can narrow the surgical incision,the clinical effect is more significant.
引文
[1]倪鹏,李红阳.腔镜辅助颈部小切口手术治疗甲状腺良性肿瘤的临床效果[J].中国医药导报,2016,13(16):35.
[2]王晋平,赵大庆,宋勇莉,等.内镜辅助下甲状腺结节手术93例发病特点及相关因素的回顾性分析[J].山西医科大学学报,2015,46(9):930.
[3] Hirano Y,Hattori M,Yagi D,et al. Single incision laparoscopic right colectomy using the techniques of open surgerythrough the small incision[J]. Indian J Surg,2014,75(1):277.
[4]李婷,刘新梅,耿金秀.颈前小切口入路与改良Miccoli腔镜辅助下手术治疗甲状腺良性肿瘤的临床研究[J].中国医刊,2016,51(5):68.
[5]胡宝山,孙影,张雪鹏,等.腔镜辅助颈部小切口手术与传统手术治疗单侧甲状腺良性疾病的对比研究[J].中国综合临床,2015,31(1):3.
[6]宋菊民.小切口手术与传统甲状腺手术治疗甲状腺肿瘤的对比分析[J].吉林医学,2012,33(29):6294.
[7] Haugen BR,Alexander EK,Bible KC,et al. 2015 American Thyroid Association management guideline for adult patient with thyroid nodules and differentiated thyroid cancer[J]. Thyroid,2016,26(1):1.
[8]解孝章.精细化与微创化的甲状腺手术临床应用探讨[J].重庆医学,2016,45(31):4434.
[9]郑力.改良小切口手术治疗老年甲状腺瘤疾病的临床观察[J].老年医学与保健,2017,23(2):125.
[10] Sabuncuoglu MZ,Sabuncuoglu A,Sozen I,et al. Minimally invasive surgery using mini anterior incision for thyroid diseases:aprospective cohort study[J]. Int J Clin Exp Med,2014,7(10):3404.
[11]李国权.改良Miccoli与小切口术式治疗甲状腺腺瘤的临床效果比较[J].中国急救医学,2015,35(2):256.
[12]谷彬,张立坤,何晓光.低领小切口甲状腺切除术115例[J].昆明医科大学学报,2015,36(3):146.
[13] Luan Lan. Ultrasound of thyroid benign and malignant cystic nodules differential diagnosis in patients with effect[J].Journal of anhuimedicine,2015,18(9):1774.
[14]陈喜志,陈润霞,蓝活.腔镜辅助小切口与完全腔镜甲状腺切除术对患者免疫功能及生活质量的影响[J].海南医学,2017,28(11):1752.
[15]王子璋,梁秦龙,冯海波,等.腔镜辅助下甲状腺手术治疗体会[J].现代肿瘤医学,2016,24(19):3039.
[16]张平,贺亮,王志宏,等.腔镜辅助甲状腺肿瘤微创手术150例临床分析[J].中国现代普通外科进展,2015,18(7):564.
[2]王晋平,赵大庆,宋勇莉,等.内镜辅助下甲状腺结节手术93例发病特点及相关因素的回顾性分析[J].山西医科大学学报,2015,46(9):930.
[3] Hirano Y,Hattori M,Yagi D,et al. Single incision laparoscopic right colectomy using the techniques of open surgerythrough the small incision[J]. Indian J Surg,2014,75(1):277.
[4]李婷,刘新梅,耿金秀.颈前小切口入路与改良Miccoli腔镜辅助下手术治疗甲状腺良性肿瘤的临床研究[J].中国医刊,2016,51(5):68.
[5]胡宝山,孙影,张雪鹏,等.腔镜辅助颈部小切口手术与传统手术治疗单侧甲状腺良性疾病的对比研究[J].中国综合临床,2015,31(1):3.
[6]宋菊民.小切口手术与传统甲状腺手术治疗甲状腺肿瘤的对比分析[J].吉林医学,2012,33(29):6294.
[7] Haugen BR,Alexander EK,Bible KC,et al. 2015 American Thyroid Association management guideline for adult patient with thyroid nodules and differentiated thyroid cancer[J]. Thyroid,2016,26(1):1.
[8]解孝章.精细化与微创化的甲状腺手术临床应用探讨[J].重庆医学,2016,45(31):4434.
[9]郑力.改良小切口手术治疗老年甲状腺瘤疾病的临床观察[J].老年医学与保健,2017,23(2):125.
[10] Sabuncuoglu MZ,Sabuncuoglu A,Sozen I,et al. Minimally invasive surgery using mini anterior incision for thyroid diseases:aprospective cohort study[J]. Int J Clin Exp Med,2014,7(10):3404.
[11]李国权.改良Miccoli与小切口术式治疗甲状腺腺瘤的临床效果比较[J].中国急救医学,2015,35(2):256.
[12]谷彬,张立坤,何晓光.低领小切口甲状腺切除术115例[J].昆明医科大学学报,2015,36(3):146.
[13] Luan Lan. Ultrasound of thyroid benign and malignant cystic nodules differential diagnosis in patients with effect[J].Journal of anhuimedicine,2015,18(9):1774.
[14]陈喜志,陈润霞,蓝活.腔镜辅助小切口与完全腔镜甲状腺切除术对患者免疫功能及生活质量的影响[J].海南医学,2017,28(11):1752.
[15]王子璋,梁秦龙,冯海波,等.腔镜辅助下甲状腺手术治疗体会[J].现代肿瘤医学,2016,24(19):3039.
[16]张平,贺亮,王志宏,等.腔镜辅助甲状腺肿瘤微创手术150例临床分析[J].中国现代普通外科进展,2015,18(7):564.