摘要
目的对保留甲状腺全血管的甲状腺良性包块切除术与传统术式进行比较,探讨其应用价值。方法回顾性分析通过手术治疗的327例甲状腺良性包块患者。采用保留甲状腺全血管治疗173例(改良术式组),采用传统手术治疗154例(传统术式组)。观察两组术中出血量、手术时间、切口长度、住院天数、术后并发症的发生情况。结果改良术式组术中出血量、手术时间、住院时间、神经损伤的发生率、手足抽搐的发生率分别为(33.6±3.2)ml、(60.7±7.2)min、(7.6±1.2)d,5.2%和0,均显著低于传统术式组的(64.8±5.7)ml,(105.2±10.9)min、(11.8±1.4)d,13.6%和5.8%,差异有统计学意义(P<0.05)。两组的切口长度相比较,P>0.05,差异无统计学意义。结论与传统术式相比,保留甲状腺全血管的甲状腺良性包块切除术具有出血量少、手术时间短、住院天数短、并发症少等优点,具有一定的应用价值。
Objective To compare the therapeutic results between the thyroidectomy with thyroid vessel preservation and the conventional thyroidectomy in the treatment of benign mass resection. Methods Retrospective analysis was carried out in 327 thyroidectomy patients. There were 173 patients accepted thyroidectomy with thyroid vessel preservation,and another 154 patients accepted conventional thyroidectomy. The efficacy of the two surgical methods was compared by observing the blood loss,operation time,length of incision,hospital stay and postoperative complication rates. Results In the vessel preservation group and the conventional group,the blood loss,operation time,hospital stay and postoperative complication rate was（ 33. 6 ± 3. 2） ml vs.（ 64. 8 ± 5. 7） ml,（ 60. 7 ± 7. 2） min vs.（ 105. 2 ± 10. 9） min,（ 7. 6 ± 1. 2） d vs.（ 11. 8 ± 1. 4） d,5. 2% vs.13. 6% and 0 vs. 5. 8% with significant difference（ P〈 0. 05）. But the length of incision of the two groups was not different（ P〉 0. 05）,which was（ 7. 5 ± 0. 7） cm vs.（ 7. 0 ± 0. 9） cm. Conclusion Compared with the conventional thyroidectomy,the thyroidectomy with thyroid vessel preservation is recommended with less blood loss,shorter operation time,shorter hospitalization and less complications.
出处
《中国现代手术学杂志》
2016年第3期167-169,共3页
Chinese Journal of Modern Operative Surgery
基金
新疆维吾尔自治区卫生厅面向农村和城市社区适宜技术推广(项目编号:20150000A-046)
关键词
甲状腺手术
血管
thyroid surgery
blood vessels
