探讨小切口内镜甲状腺手术治疗效果

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1、探讨小切口内镜甲状腺手术治疗效果绥棱县社区卫生服务中心152200摘要：目的探讨并分析内镜下小切口术式治疗甲状腺的方法及其临床疗效分析。方法此次研宄的对象是选取我院近年收治的行内镜下小切U术式治疗的甲状腺患者81例(记为内镜组)，与同期采用传统开放式术式治疗的患者81例(记为传统组)进行对比分析，比较2组手术时K、住院费用、术中出血量及并发症发生率等。结果内镜组手术切IJ(3.10.5)cm及术中出血量(23.19.5)ml显著小于传统组，差异有统计学意义(P<0.01),但手术时长和住院费用则明显高于传统组，差异有统计学意义(P<0.05)。并发症上，内镜组并发症率6

2、.7%与传统组的8.3%,差异无统计学意义(P>0.05)。术后瘢痕总满意度上，内镜组90.1%明显高于传统组80.2%,差异有统计学意义(P<0.05)。结论与传统开放式手术相比，小切口手术能更为明显的减轻术中创伤，促进术后切口瘢痕恢复，美容效果更佳，值得临床推广。关键词：内镜；小切U;甲状腺[Abstract]ObjectiveToinvestigateandanalyzethemethodofendoscopicsmallincisionforthetreatmentofthyroidglandanditsclinicalcurativeeffectanalysi

3、s.Methodsthestudyobjectisselectedinourhospitalinrecentyearswereunderwentsmallincisionsurgeryinthetreatmentofpatientswiththyroid81cases(denotedintheendoscopicgroup),comparedwiththetraditionalopensurgicaltreatmentofpatientswith81cases(remembergroup)wereanalyzedandcomparedtwogroupsofoperationlong

4、，costofhospitalization,intraoperativebleedingvolumeandtheincidenceofcomplicationssuchas.Resultsendoscopicsurgeryincision(3.10.5)cminoperationandbleedingvolume(23.19.5)mlofwassignificantlylowerthanthatinthetraditionalgroup,thedifferenceisstatisticallysignificant(P<0.01),butthelengthoftimeofs

5、urgeryandhospitalizationexpensesissignificantlyhigherthanthatofthetraditionalgroup,andthedifferenceisstatisticallysignificant(P<0.05).Complications，endoscopicgroupcomplicationrate8.3%and6.7%ofthetraditionalgroup，thedifferencewasnotstatisticallysignificant(P>0.05)•Onthegeneralsatisfaction

6、ofthescarafteroperation,theendoscopicgroup90.1%wassignificantlyhigherthanthatofthetraditionalgroup(80.2%),thedifferencewasstatisticallysignificant^P<0.05).Conclusioncomparedwiththetraditionalopensurgery,smallincisionsurgerycansignificantlyreducetheintraoperativetrauma，promotetheincisionscar

7、recovery，cosmeticeffectisbetter,itisworthclinicalpromotion.[Keywords]endoscopy；smallincision；thyroidgland1资料与方法1.1一般资料入选资料为2009.032011.06期间在我院住院进行手术治疗的甲状腺肿瘤患者162例，入选标准为：①CT检查显示肿块直径<4cm。②肿块下缘位于胸骨切迹上面，边界清晰可见，质地硬度为中等及以下，触碰吋无明显痛感。③单个结节，随