改良Miccoli手术治疗甲状腺良性结节的疗效分析
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摘要
目的探析在甲状腺良性疾病治疗中改良Miccoli手术与传统开放甲状腺手术的效果。方法选取东莞市厚街医院2016年1月至2019年1月期间收治的甲状腺良性疾病患者中80例为研究对象,根据手术方式的不同将患者进行分组,传统开放甲状腺手术治疗的患者52例为对照组,改良Miccoli手术治疗的患者28例为观察组。对两组手术情况于术后并发症发生情况进行观察。结果在手术时间、切口长度与住院时间对比上,观察组均短于对照组,且观察组术中出血量更少,以上数据经检验差异P<0.05,差异具有统计学意义;但在术后并发症发生率比较上,两组数据经检验无显著差异P>0.05无统计学意义。结论改良Miccoli手术具有创伤小以及住院时间等优势,有利于术后患者身心状态及手术切口的恢复,值得临床加大应用力度。
Objective To investigate the effect of modified Miccoli surgery and traditional open thyroid surgery in the treatment of benign thyroid diseases. Methods Eighty patients with benign thyroid diseases admitted to dongguan houjie hospital from January 2016 to January 2019 were selected as the study subjects. Patients were divided into groups according to different surgical methods. 52 patients treated with traditional open thyroid surgery were selected as the control group, and 28 patients treated with modified Miccoli surgery were selected as the observation group. The postoperative complications of the two groups were observed. Results In terms of operation time, incision length and hospitalization time, the observation group was shorter than the control group, and the amount of intraoperative blood loss was lower in the observation group. However, there was no significant difference in the incidence of postoperative complications between the two groups. P > 0.05 was not statistically significant.Conclusion The modified Miccoli surgery has the advantages of small trauma and length of stay, which is conducive to the postoperative physical and mental state of patients and the recovery of surgical incision, and is worthy of clinical application.
Objective To investigate the effect of modified Miccoli surgery and traditional open thyroid surgery in the treatment of benign thyroid diseases. Methods Eighty patients with benign thyroid diseases admitted to dongguan houjie hospital from January 2016 to January 2019 were selected as the study subjects. Patients were divided into groups according to different surgical methods. 52 patients treated with traditional open thyroid surgery were selected as the control group, and 28 patients treated with modified Miccoli surgery were selected as the observation group. The postoperative complications of the two groups were observed. Results In terms of operation time, incision length and hospitalization time, the observation group was shorter than the control group, and the amount of intraoperative blood loss was lower in the observation group. However, there was no significant difference in the incidence of postoperative complications between the two groups. P > 0.05 was not statistically significant.Conclusion The modified Miccoli surgery has the advantages of small trauma and length of stay, which is conducive to the postoperative physical and mental state of patients and the recovery of surgical incision, and is worthy of clinical application.
引文
[1]顾大力.改良Miccoli微创甲状腺手术治疗甲状腺癌的临床研究[J].医学临床研究, 2016,33(11):2168-2170.
[2]由法平,孙爱辉,卜庆敖,等.改良Miccoli手术在全甲状腺切除术中对甲状旁腺保护研究[J].中华肿瘤防治杂志,2017, 24(13):912-915.
[3]王薇,潘金强,陈辉,等.完全腔镜下甲状腺癌根治术与传统开放手术的临床效果对比分析[J].肿瘤学杂志,2017, 23(12):1127-1130.
[4]王雄,陈熹.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疗效和安全性比较[J].临床外科杂志,2017, 25(11):855-858.
[5]冯志刚,杨雨民.腔镜下与开放性甲状腺切除术的临床效果比较[J].山东医药,2017, 57(34):86-87.
[6]连红霞,李秀刚,闫建平.小切口与传统开放手术治疗甲状腺腺瘤效果对比研究[J].中国现代普通外科进展,2017, 20(4):291-292.
[7]靳凯,成绥生. Focus超声刀与传统方法在开放性甲状腺手术中的临床对比研究[J].医学综述,2018, 24(2):384-388.
[8]杨占祥.腔镜与开放式甲状腺手术治疗良性甲状腺瘤的疗效观察[J].实用癌症杂志, 2016,31(11):1825-1827.
[2]由法平,孙爱辉,卜庆敖,等.改良Miccoli手术在全甲状腺切除术中对甲状旁腺保护研究[J].中华肿瘤防治杂志,2017, 24(13):912-915.
[3]王薇,潘金强,陈辉,等.完全腔镜下甲状腺癌根治术与传统开放手术的临床效果对比分析[J].肿瘤学杂志,2017, 23(12):1127-1130.
[4]王雄,陈熹.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疗效和安全性比较[J].临床外科杂志,2017, 25(11):855-858.
[5]冯志刚,杨雨民.腔镜下与开放性甲状腺切除术的临床效果比较[J].山东医药,2017, 57(34):86-87.
[6]连红霞,李秀刚,闫建平.小切口与传统开放手术治疗甲状腺腺瘤效果对比研究[J].中国现代普通外科进展,2017, 20(4):291-292.
[7]靳凯,成绥生. Focus超声刀与传统方法在开放性甲状腺手术中的临床对比研究[J].医学综述,2018, 24(2):384-388.
[8]杨占祥.腔镜与开放式甲状腺手术治疗良性甲状腺瘤的疗效观察[J].实用癌症杂志, 2016,31(11):1825-1827.