摘要
【目的】比较低位弧形切口法与“L”型切口法在甲状腺癌合并颈部淋巴结转移患者手术中应用效果。【方法】回顾性分析华山医院宝山分院普外科收治的100例PTC合并颈部淋巴结转移患者的临床资料，根据手术切口方式不同将患者分为低位弧形切口法组和“L”型切口法组，每组各50例。对比两组患者手术时间、总淋巴结清扫数量、分区淋巴结清扫数、术后随访生存质量评估分数。【结果】低位弧形切口法组手术时间小于“L”型切口法组，差异有统计学意义（t=8．958，P=0．000）；两组患者总淋巴结及分区淋巴结清扫数量比较，差异均无统计学意义（x2=0．160，P=0．688；x2=．098，P=0．954）。两组患者术后随访生存质量评估分数比较，低位弧形切口法组总分、柔软度、僵硬、紧缩感、疼痛分数均低于“L”型切口法组，差异均具有统计学意义（均Pd0．05）；两组血管分布比较差异无统计学意义（t=0．745，P=0．458）。【结论】对于PTC合并颈部淋巴结转移的患者，应用低位弧形切口法相对于传统“L”型切口法可缩短患者手术时间，术后伤口美观，并可提高患者术后生活质量，具有有一定优越性。
[Objective]To compare the effects between the low-arc incision method and the ＂L＂ type incision method in the treatment of thyroid papillary carcinoma complicated by cervical lymph node metastasis. [ Methods] One hundred patients with thyroid papillary carcinoma in the Department of General Surgery at Huashan Hospital BaoShan Branch were retrospectively analyzed. According to the different incision approaches, the patients were divided into the low-arc incision group and the ＂L＂ type incision group, with the fifty cases in each group. Operation time, total number of lymph nodes, lymph node cleaning quantity, partition, postoperative follow-up results, survival quality, and overall evaluation scores were compared in two groups. [Results]Operation time compared between the two groups showed that the low-arc inci- sion method group had operation time significantly shorter than in the ＂L＂ type incision group. The difference was statisti- cally significant （ t = 8.958, P = 0.000）. The result of the number of total lymph cleaning compared in two groups showed that difference was not statistically significant （x2 = 0.160, P= 0.688 ;x2 = 1.098, P = 0.954）. The results of postoperative follow-up on the quality of life and overall evaluation scores showed that the low-arc incision group＇s total. score, softness, stiffness, tightening feeling, and pain scores were all below than that of the ＂L＂ type incision group. The difference was statistically significant （ P 〈0.05）. However, the vascular distribution between the two groups has no sta- tistical significance （ t = 0.745, P =0.458）. [Conclusion] For the thyroid papillary carcinoma complicated by cervical lymph node metastasis patients during operation, the low-arc incision method has certain advantages over the traditional ＂ L＂ type incision method.
出处
《医学临床研究》
CAS
2016年第5期916-918,共3页
Journal of Clinical Research
