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1、低位小切口切除术与传统手术治疗甲状腺瘤的临床效果对比分析【摘要】目的:对比分析低位小切曰切除术与传统手术治疗甲状腺瘤的效果。方法:选取2012年10月-2015年7月来本院治疗的甲状腺瘤患者143例,将其按照随机数字表法分为两组,观察组71例,采用低位小切口切除术治疗,对照组72例,采用传统手术方法治疗,比较两组手术情况、疼痛程度及切口美容评分、并发症发生情况。结果:观察组术中出血量明显少于与对•照组,手术切口长度及住院时间明显较短,两组比较差异均有统计学意义(P0.05);观察组术后6、24hVAS评分均明显低于对照组,切口美容评分明显较高,两组比较差异均有统计学
2、意义(P<0.05)o观察组并发症总发生率明显低于对照组,两组比较差异有统计学意义(P<0.05)o结论:甲状腺瘤患者采用低位小切口切除术治疗效果显著,对患者造成的创伤小,出血量少,减轻患者的疼痛感,缩短了住院时间,安全性高,且有史好的切口美容效果,患者更易于接受,建议在临床推广应用。【关键词】甲状腺瘤;小切口;切除术;传统手术;低位TheClinicalEffectofThyroidTumorsPatientsTreatedwithLowSmallIncisionSurgeryandTraditionalSurgery/ZHANGLiang.//MedicalIn
3、novationofChina,2016,13(06):008-010[Abstract]Objective:Tocomparetheclinicaleffectofthyroidtumorspatientstreatedwith1owsmallincisionsurgeryandtraditionalsurgery.Method:Therewere143casesofthyroidtumorsforthestudy,allofthemwereselectedfromOctober2012toJuly2015inourhospitaiandaccordingtoth
4、erandomnumbertable,theyweredividedintotwogroups,theobservationgrouphad71cases,treatedwith1owsmallincisionthetreatment,thecontrolgrouphad72cases,usedtraditionalsurgicaltreatments-Theoperationcase,thepainandwoundbeautyscore,complicationsoccurrenceoftwogroupswerecompared.Result:Thebloodlo
5、ssoftheobservationgroupwassignificantlysmallerthanthecontrolgroup,theincisionlengthandhospitalslayweresignificantlyshorterthanthecontrolgroup,thedifferenceswerestatisticallysignificant(P0.05).TheVASscoreof6,24hafteroperationoftheobservationgroupweresignificantly1owerthanthecontrolgroup
6、,woundbeautyscorewassignificantlyhigherthanthecontrolgroup,thedifferenceswerestatisticallysignificant(P<0.05).Theoveral1incidenceofcomplicationsintheobservationgroupwassignificantlylowerthanthecontrolgroup,thedifferencewasstatisticallysignifleant(P<0.05).Conclusion:Theclinicaleffectoft
7、hethyroidtumorspatientstreatedwithlowsmallincisionsurgerytreatmentissignificant,itcansignificantly^lesstraumatothethyroidtumorspatients,andreducetheamountofbleeding,relievepainofpatients,shortenthehospitalstaytime,thesecurityishigher,andthereisagoodnotchcosmeticresults,thethyroidtumo