腔镜辅助颈部小切口手术在甲状腺良性肿瘤中的作用评价
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摘要
目的探讨腔镜辅助颈部小切口手术在甲状腺良性肿瘤中的作用。方法从2018年1—6月我院收治的甲状腺良性肿瘤患者中抽选89例进行研究,采用数字随机分配法分为实验组和对照组。实验组45例,接受腔镜辅助颈部小切口手术治疗,对照组44例,接受传统开放手术治疗,对两组患者治疗后的效果进行对比。结果实验组术中出血量明显少于对照组,并发症发生率(4.44%)明显少于对照组(20.45%),满意度(93.33%)明显高于对照组(77.27%),P <0.05,差异具有统计学意义。结论为了帮助甲状腺良性肿瘤患者进行疾病的治疗,促使患者身体健康状况的改善,可以将腔镜辅助颈部小切口手术运用到治疗过程中。
Objective To explore the role of endoscopic assisted neck small incision surgery in benign thyroid tumors. Methods 89 cases of thyroid benign tumor patients admitted to our hospital from January to June 2018 were selected for the study, and were divided into experimental group and control group by digital random distribution. 45 patients in the experimental group were given endoscopically-assisted small neck incision surgery, and 44 patients in the control group were given traditional open surgery. The effect of two groups of patients after treatment was compared. Results The amount of intraoperative blood loss in the experimental group was significantly lower than that in the control group, the incidence of complications(4.44%) was significantly lower than that in the control group(20.45%), and the satisfaction(93.33%) was significantly higher than that in the control group(77.27%). The difference was statistically significant(P < 0.05). Conclusion In order to help patients with thyroid benign tumor to carry out disease treatment and promote the improvement of patients' physical health, endoscopic assisted neck small incision surgery is needed in the treatment process.
Objective To explore the role of endoscopic assisted neck small incision surgery in benign thyroid tumors. Methods 89 cases of thyroid benign tumor patients admitted to our hospital from January to June 2018 were selected for the study, and were divided into experimental group and control group by digital random distribution. 45 patients in the experimental group were given endoscopically-assisted small neck incision surgery, and 44 patients in the control group were given traditional open surgery. The effect of two groups of patients after treatment was compared. Results The amount of intraoperative blood loss in the experimental group was significantly lower than that in the control group, the incidence of complications(4.44%) was significantly lower than that in the control group(20.45%), and the satisfaction(93.33%) was significantly higher than that in the control group(77.27%). The difference was statistically significant(P < 0.05). Conclusion In order to help patients with thyroid benign tumor to carry out disease treatment and promote the improvement of patients' physical health, endoscopic assisted neck small incision surgery is needed in the treatment process.
引文
[1]成文杰,蒋宛吟,蒋宛汝,等.腔镜辅助颈部小切口手术与传统甲状腺手术治疗甲状腺良性肿瘤的对比研究[J].中国保健营养,2017,27(4):125.
[2]倪鹏,李红阳.腔镜辅助颈部小切口手术治疗甲状腺良性肿瘤的临床效果[J].中国医药导报,2016,13(16):35-37,49.
[3]王瑞胜.腔镜辅助颈部小切口手术在甲状腺良性肿瘤治疗中的应用[J].河南医学研究,2017,26(3):531-532.
[4]王占龙.腔镜辅助颈部小切口手术与传统开放手术治疗甲状腺良性肿瘤的对比分析[J].中外医疗,2016,35(7):37-39.
[5]邢浩,尹峰燕,张晓健,等.腔镜辅助颈部小切口手术与传统甲状腺手术治疗甲状腺良性肿瘤的疗效对比[J].临床医药文献电子杂志,2016,3(35):6974.
[6]李福龙.腔镜辅助小切口治疗甲状腺肿瘤患者的临床效果[J].医疗装备,2016,29(20):78-79.
[7]李婷,刘新梅,耿金秀.颈前小切口入路与改良Miccoli腔镜辅助下手术治疗甲状腺良性肿瘤的临床研究[J].中国医刊,2016,51(5):68-71.
[8]胡宝山,孙影,张雪鹏,等.腔镜辅助颈部小切口手术与传统手术治疗单侧甲状腺良性疾病的对比研究[J].中国综合临床,2015,31(1):3-5.
[9]王欣,张雪鹏.腔镜辅助颈部小切口手术治疗甲状腺疾病的效果[J].中国医药导报,2015,12(12):86-88.
[10]徐兴贵.腔镜辅助颈部小切口手术与传统甲状腺手术治疗甲状腺良性肿瘤的对比研究[J].世界最新医学信息文摘,2017,17(74):67.
[11]马伟.腔镜辅助颈部小切口手术在甲状腺良性肿瘤治疗中的应用效果评价[J].数理医药学杂志,2018,31(2):209-210.
[12]齐明.腔镜辅助颈部小切口手术治疗甲状腺良性肿瘤的临床疗效[J].中国卫生标准管理,2017,8(7):48-49.
[13]王平,谢秋萍.腔镜甲状腺手术临床应用争议和共识[J].中国实用外科杂志,2015,35(1):76-78.
[14]李雄.探讨低位小切口与传统甲状腺手术治疗甲状腺良性结节的临床效果[J].中国卫生标准管理,2017,8(3):55-56.
[2]倪鹏,李红阳.腔镜辅助颈部小切口手术治疗甲状腺良性肿瘤的临床效果[J].中国医药导报,2016,13(16):35-37,49.
[3]王瑞胜.腔镜辅助颈部小切口手术在甲状腺良性肿瘤治疗中的应用[J].河南医学研究,2017,26(3):531-532.
[4]王占龙.腔镜辅助颈部小切口手术与传统开放手术治疗甲状腺良性肿瘤的对比分析[J].中外医疗,2016,35(7):37-39.
[5]邢浩,尹峰燕,张晓健,等.腔镜辅助颈部小切口手术与传统甲状腺手术治疗甲状腺良性肿瘤的疗效对比[J].临床医药文献电子杂志,2016,3(35):6974.
[6]李福龙.腔镜辅助小切口治疗甲状腺肿瘤患者的临床效果[J].医疗装备,2016,29(20):78-79.
[7]李婷,刘新梅,耿金秀.颈前小切口入路与改良Miccoli腔镜辅助下手术治疗甲状腺良性肿瘤的临床研究[J].中国医刊,2016,51(5):68-71.
[8]胡宝山,孙影,张雪鹏,等.腔镜辅助颈部小切口手术与传统手术治疗单侧甲状腺良性疾病的对比研究[J].中国综合临床,2015,31(1):3-5.
[9]王欣,张雪鹏.腔镜辅助颈部小切口手术治疗甲状腺疾病的效果[J].中国医药导报,2015,12(12):86-88.
[10]徐兴贵.腔镜辅助颈部小切口手术与传统甲状腺手术治疗甲状腺良性肿瘤的对比研究[J].世界最新医学信息文摘,2017,17(74):67.
[11]马伟.腔镜辅助颈部小切口手术在甲状腺良性肿瘤治疗中的应用效果评价[J].数理医药学杂志,2018,31(2):209-210.
[12]齐明.腔镜辅助颈部小切口手术治疗甲状腺良性肿瘤的临床疗效[J].中国卫生标准管理,2017,8(7):48-49.
[13]王平,谢秋萍.腔镜甲状腺手术临床应用争议和共识[J].中国实用外科杂志,2015,35(1):76-78.
[14]李雄.探讨低位小切口与传统甲状腺手术治疗甲状腺良性结节的临床效果[J].中国卫生标准管理,2017,8(3):55-56.