摘要
目的通过比较传统手术与低位小切口手术治疗甲状腺瘤的临床疗效,旨在筛选出一种有效治疗甲状腺瘤的术式。方法将60例甲状腺瘤患者按照手术方式分为对照组(n=27)与观察组(n=33),分别采用传统手术与低位小切口手术治疗。比较两组术中出血量、切口长度、手术时间、住院时间、手术前后VAS评分、满意度评分、血压异常率及心率异常率、治疗前后SF-12生活量表评分、术后并发症发生率。结果 (1)观察组术中出血量、切口长度、手术时间、住院时间均显著小于对照组(P<0.05);(2)两组手术前后VAS评分、满意度评分、血压异常率及心率异常率比较差异有统计学意义(P<0.05或P<0.01),且两组术后上述指标比较差异有统计学意义(P<0.05);(3)根据SF-12量表评分,两组术后SF-12各维度(躯体功能、躯体角色、肌体疼痛、总的健康状况、活力、社会功能、情绪角色、心理卫生)评分均显著高于术前(P<0.05或P<0.01),且观察组术后上述评分均显著高于对照组术后(P<0.05);(4)对照组术后并发症发生率为29.63%(8/27),显著大于观察组9.09%(3/33),二者比较差异有统计学意义(P<0.05)。结论与传统术式相比,低位小切口手术在治疗甲状腺瘤中的疗效更为显著,可有效改善患者生活质量,降低术后并发症发生率,应加以推广应用。
Objective To compare the clinical efficacy of traditional surgery and low small incision surgery for thyroid tumors, aim to screen an effective surgical treatment of thyroid tumors. Methods A total of 60 patients with thyroid tu- mors according to surgical patients were divided into the control group （n=27） and the observation group （n=33） respec- tively, using the traditional surgery and low small incision surgery. Compared the blood loss, incision length, operative time, hospital stay, VAS scores before and after surgery, satisfaction scores, abnormal blood pressure and heart rate ab- normal rate, life questionnaire SF-12 scores before and after treatment, incidence of postoperative complications. Re- suits （1）The blood loss, incision length, operative time, length of hospital stay of observation group were significantly lower than the control group （P〈0.05）; （2）The differences of VAS scores, satisfaction scores, abnormal blood pressure and heart rate abnormal rate of two groups before and after surgery were statistically significant （P〈0.05 or P〈0.01）, and the difference between the two groups after the surgery were statistically significant（P〈0.05）; （3）The SF-12 dimen- sions in both groups postoperative based on SF-12 scale scores （physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, mental health） were significantly higher than before surgery （P〈0.05 or P〈0.01）, and the scores of observation group postoperative were significantly higher than control group（P〈0.05）; （4） The incidence of complications postoperative in control group was 29.63% （8/27）, which was significantly higher than 9.09% （3/33）, the difference was statistically significant （P〈0.05）. Conclusion Compare with the traditional procedure, a small incision low efficacy in the treatment of thyroid tumors is more significant, which can effectively improve the quality of life of patients and reduce the incidence of postoperative complications, should be promoted.
出处
《中国现代医生》
2015年第15期24-26,共3页
China Modern Doctor
