| 贺功建 李凡 任章霞 许思哲 曾黎.小切口改良甲状腺切除术与传统甲状腺切除术的临床疗效对比[J].,2016,16(14):2738-2740 |
| 小切口改良甲状腺切除术与传统甲状腺切除术的临床疗效对比 |
| Comparison of Clinical Effect of Small Incision Improved Thyroidectomyand Traditional Thyroidectomy |
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| DOI： |
| 中文关键词: 小切口改良甲状腺切除术 传统甲状腺切除术 对比 临床疗效 |
| 英文关键词: Small incision improved thyroidectomy Traditional thyroidectomy Comparison Clinical effect |
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| 中文摘要: |
| 目的：对比小切口改良甲状腺切除术与传统甲状腺切除术的临床疗效。方法：选择自2013 年4月至2014 年9 月我院收治的
甲状腺瘤患者96 例，按照随机数表法将患者分成对照组和实验组，每组48 例。对照组患者行传统甲状腺切除术治疗，而实验组
患者行小切口改良甲状腺切除术治疗。比较两组患者的手术时间、手术切口长度、出血量、术后住院时间及瘢痕美容评分，并对患
者对于手术的满意度比较。术后随访半年，观察患者的并发症情况并统计分析。结果：实验组患者的手术时间、切口长度、出血量
及术后住院时间明显低于对照组，另外，实验组患者的瘢痕美容评分明显高于对照组，且差异均有统计学意义（P<0.01）。实验组患
者满意度为93.75%（45/48）显著高于对照组的满意度54.17%（26/48）（P<0.01）。实验组患者并发症的发生率显著低于对照组（P<0.
01）。结论：小切口改良甲状腺切除术较传统甲状腺切除术，能够缩短手术时间和术后住院，减少出血量，并具有较短的切口长度
及较高的瘢痕美容评分，术后患者的满意度高，并发症的发生率低，值得在临床上进行推广。 |
| 英文摘要: |
| Objective:To compare the clinical effect of small incision improved thyroidectomy and traditional thyroidectomy.Methods:A total of 96 patients with thyroid tumor, who were treated in Guang'an People's Hospital from April 2013 to September 2014,
were selected and randomly divided into control group (n=48) and experimental group (n=48). The control group was treated with
traditional thyroidectomy, while the experimental group, with small incision improved thyroidectomy. compared The operation time,
length of incision, blood loss, postoperative hospitalization time and scar cosmetology scores, satisfaction of operation in the two groups
were compared. The complications of patients were observed and statistically analyzed during the half a year of follow-up after operation.Results:The operation time, length of incision, blood loss and postoperative hospitalization time in the experimental group were
significantly lower than those in the control group. In addition, the scar cosmetology scores in the experimental group was significantly
higher than those in the control group, the differences were statistically significant(P<0.01). The satisfaction of operation(93.75%) in the
experimental group was significantly higher than that (54.17%) in the control group (P<0.01). The incidence of complications in the
experimental group was significantly lower than that in the control group (P<0.01).Conclusion:Compared with traditional
thyroidectomy, small incision improved thyroidectomy has the following advantages: shortening the operation and postoperative
hospitalization time, reducing blood loss, shorter incision, higher cosmetology score, higher satisfaction, and lower incidence of
complications, which is worthy of clinical application. |
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