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目的比较内镜下经颈部小切口手术与传统手术治疗甲状腺肿瘤的应用效果。方法选取甲状腺肿瘤患者82例,按随机数字表法分为两组,每组41例。对照组实施传统开放手术,观察组采用内镜下经颈部小切口手术,比较两组临床指标、术后并发症发生率及复发率。结果观察组术中出血量、术后引流量及住院时间均明显优于对照组,手术时间及瘢痕满意度评分显著高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率显著低于对照组,差异有统计学意义(P<0.05);两组复发率比较差异未见统计学意义(P>0.05)。结论与传统手术相比,内镜下经颈部小切口手术治疗甲状腺肿瘤效果较好,可减少术中出血量及术后引流量,降低术后并发症发生率,促进患者术后恢复,且瘢痕满意度较高。
Objective To compare the effect of endoscopic small incision and traditional surgery for thyroid tumors. Methods Eighty-two patients with thyroid cancer were selected and divided into two groups according to the random number table method, with 41 cases in each group. In the control group, the traditional open surgery was performed. The observation group was treated by endoscopic small incision through the neck. The clinical indexes, postoperative complication rate and recurrence rate were compared between two groups. Results The intraoperative blood loss, postoperative drainage and hospital stay in the observation group were significantly better than those in the control group. The scores of operation time and scar satisfaction were significantly higher in the observation group than those in the control group (P <0.05) The incidence was significantly lower than the control group, the difference was statistically significant (P <0.05); the recurrence rate was no significant difference between the two groups (P> 0.05). Conclusion Compared with traditional surgery, endoscopic small-incision for the treatment of thyroid tumors with good results can reduce intraoperative bleeding and postoperative drainage, reduce the incidence of postoperative complications, and promote postoperative recovery, and High degree of scar satisfaction.