超声刀辅助小切口甲状腺手术治疗结节性甲状腺肿的效果分析
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摘要
目的研究探讨超声刀辅助小切口甲状腺手术治疗结节性甲状腺肿的效果。方法选择2014年1月～2017年12月本院结节性甲状腺肿患者1136例进行讨论,把所有患者随机分为两组,对照组558例,观察组678例,其中对照组采用传统的甲状腺手术进行治疗,观察组采取超声刀辅助小切口甲状腺手术治疗,观察两组患者的治疗效果。并发症的发生情况、疼痛情况。结果观察组患者的治疗效果要比对照组的好,患者的手术时间、切口大小、出血量等都比对照组的要少,并观察组发生并发症的发生率为7.81%,对照组为15.05%,发症的发生情况也比对照组的要低一些,两组比较,差异有统计学意义(P <0.05)。结论对于结节性甲状腺肿的患者,采取超声刀辅助小切口甲状腺手术进行治疗,可以帮助患者缓解疼痛,减少并发症的出现,促进预后,减少患者的住院时间、术中出血量等,值得在今后患者的治疗过程中应用。
Objective To investigate the effect of ultrasound knife assisted small incision thyroid surgery in the treatment of nodular goiter. Methods A total of 1136 patients with nodular goiter in our hospital from January 2014 to December 2017 were selected for discussion. All patients were randomly divided into two groups, 558 in the control group and 678 in the observation group. The control group used traditional thyroid surgery. For the treatment, the observation group was treated with ultrasonic scalpel assisted small incision thyroid surgery, and the therapeutic effects of the two groups were observed. The occurrence of complications and pain. Results The treatment effect of the observation group was better than that of the control group. The operation time, incision size and blood loss were less than that of the control group, and the incidence of complications in the observation group was 7.81%, and that in the control group was 15.05%. The incidence of the onset was also lower than that of the control group. The difference between the two groups was statistically significant(P < 0.05). Conclusion For patients with nodular goiter, ultrasonic scalpel assisted small incision thyroid surgery for treatment, can help patients relieve pain, reduce the occurrence of complications, promote prognosis, reduce the length of hospital stay. The amount of intraoperative bleeding is worthy to be used in the treatment of patients in the future.
Objective To investigate the effect of ultrasound knife assisted small incision thyroid surgery in the treatment of nodular goiter. Methods A total of 1136 patients with nodular goiter in our hospital from January 2014 to December 2017 were selected for discussion. All patients were randomly divided into two groups, 558 in the control group and 678 in the observation group. The control group used traditional thyroid surgery. For the treatment, the observation group was treated with ultrasonic scalpel assisted small incision thyroid surgery, and the therapeutic effects of the two groups were observed. The occurrence of complications and pain. Results The treatment effect of the observation group was better than that of the control group. The operation time, incision size and blood loss were less than that of the control group, and the incidence of complications in the observation group was 7.81%, and that in the control group was 15.05%. The incidence of the onset was also lower than that of the control group. The difference between the two groups was statistically significant(P < 0.05). Conclusion For patients with nodular goiter, ultrasonic scalpel assisted small incision thyroid surgery for treatment, can help patients relieve pain, reduce the occurrence of complications, promote prognosis, reduce the length of hospital stay. The amount of intraoperative bleeding is worthy to be used in the treatment of patients in the future.
引文
[1]Cantisani V,Lodise P,Grazhdani H,et al.Ultrasound elastography in the evaluation of thyroid pathology.Current status[J].European Journal of Radiology,2014,83(3):420-428.
[2]陶礼,刘业海,姚遥,等.FOCUS超声刀在巨大结节性甲状腺肿手术中的应用价值[J].中国中西医结合耳鼻咽喉科杂志,2015,23(5):365-367,381.
[3]王克科.结节性甲状腺肿超声刀辅肋小切口甲状腺手术治疗效果分析[J].影像研究与医学应用,2017,1(9):124-125.
[4]杨进华,刘海波,伍世绩,等.B超引导微波消融与传统手术治疗结节性甲状腺肿临床分析[J].中国综合临床,2016,32(5):417-420.
[5]陈伟.甲状腺全切除术对结节性甲状腺肿术中切口长度及术后VAS评分的影响[J].内蒙古医学杂志,2017,49(10):1206-1207.
[6]张俊英,卢晓峰,杨吉英,等.2006~2015年我院甲状腺疾病住院患者构成分析[J].中国医药科学,2017,7(8):189-192.
[7]魏明.超声刀辅助小切口甲状腺手术对结节性甲状腺肿的治疗效果[J].临床医学,2017,37(5):37-38.
[8]罗世璧.结节性甲状腺肿超声刀辅助小切口甲状腺手术治疗效果探讨[J].中外医疗,2017,36(8):183-185.
[9]Banaka I,Thomas D,Kaltsas G,et al.Value of the left inferior thyroid artery peak systolic velocity in diagnosing autoimmune thyroid disease[J].Journal of Ultrasound in Medicine(Official Journal of the American Institute of Ultrasound in Medicine),2013,32(11):1969-1978.
[10]宗宁.应用高频超声刀实施小切口无气腔室内镜下甲状腺手术效果分析[J].中国医疗器械信息,2017,23(19):109-110.
[11]万月明.喉返神经监测在复杂甲状腺手术中的应用与研究[J].中国医药科学,2017,7(12):156-158.
[12]林俊双.超声刀用于开放性小切口甲状腺手术中的应用价值研究[J].中国医药科学,2017,7(7):145-147.
[13]徐庆玲,于守君,张永林等.微波消融治疗结节性甲状腺肿对甲状腺功能影响的临床观察[J].介入放射学杂志,2017,26(6):535-538.
[14]刘小华,陈金剑,陈福灯,等.双侧结节性甲状腺肿经甲状腺次全切除术治疗的效果观察[J].中外医学研究,2017,15(18):123-124.
[15]樊津瑞,古妮,崔敏等.手术治疗结节性甲状腺肿的疗效及对患者生活质量的影响[J].临床医学工程,2017,24(6):799-800.
[2]陶礼,刘业海,姚遥,等.FOCUS超声刀在巨大结节性甲状腺肿手术中的应用价值[J].中国中西医结合耳鼻咽喉科杂志,2015,23(5):365-367,381.
[3]王克科.结节性甲状腺肿超声刀辅肋小切口甲状腺手术治疗效果分析[J].影像研究与医学应用,2017,1(9):124-125.
[4]杨进华,刘海波,伍世绩,等.B超引导微波消融与传统手术治疗结节性甲状腺肿临床分析[J].中国综合临床,2016,32(5):417-420.
[5]陈伟.甲状腺全切除术对结节性甲状腺肿术中切口长度及术后VAS评分的影响[J].内蒙古医学杂志,2017,49(10):1206-1207.
[6]张俊英,卢晓峰,杨吉英,等.2006~2015年我院甲状腺疾病住院患者构成分析[J].中国医药科学,2017,7(8):189-192.
[7]魏明.超声刀辅助小切口甲状腺手术对结节性甲状腺肿的治疗效果[J].临床医学,2017,37(5):37-38.
[8]罗世璧.结节性甲状腺肿超声刀辅助小切口甲状腺手术治疗效果探讨[J].中外医疗,2017,36(8):183-185.
[9]Banaka I,Thomas D,Kaltsas G,et al.Value of the left inferior thyroid artery peak systolic velocity in diagnosing autoimmune thyroid disease[J].Journal of Ultrasound in Medicine(Official Journal of the American Institute of Ultrasound in Medicine),2013,32(11):1969-1978.
[10]宗宁.应用高频超声刀实施小切口无气腔室内镜下甲状腺手术效果分析[J].中国医疗器械信息,2017,23(19):109-110.
[11]万月明.喉返神经监测在复杂甲状腺手术中的应用与研究[J].中国医药科学,2017,7(12):156-158.
[12]林俊双.超声刀用于开放性小切口甲状腺手术中的应用价值研究[J].中国医药科学,2017,7(7):145-147.
[13]徐庆玲,于守君,张永林等.微波消融治疗结节性甲状腺肿对甲状腺功能影响的临床观察[J].介入放射学杂志,2017,26(6):535-538.
[14]刘小华,陈金剑,陈福灯,等.双侧结节性甲状腺肿经甲状腺次全切除术治疗的效果观察[J].中外医学研究,2017,15(18):123-124.
[15]樊津瑞,古妮,崔敏等.手术治疗结节性甲状腺肿的疗效及对患者生活质量的影响[J].临床医学工程,2017,24(6):799-800.