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目的探讨改良Miccoli手术与传统手术治疗甲状腺肿瘤的临床疗效。方法选取我院279例手术治疗甲状腺肿瘤患者,148例行改良Miccoli手术,131例行传统手术,对比分析两组患者在手术时间、术中出血量、切口长度、术后引流量、术后并发症、住院时间中的差异。结果改良Miccoli手术组在手术时间(50.6±11.2 vs 76.8±28.5 min)、术中出血量(13.7±8.2 vs 43.1±19.8 ml)、切口长度(2.3±0.3 vs 6.7±2.4 cm)、术后引流量(23.6±7.4 vs 60.4±16.8ml)、术后并发症(1.3%vs 7.6%)、住院时间(2.8±1.2 vs 4.4±1.6d)均小于传统组,差异有统计学意义(<0.05)。结论改良Miccoli甲状腺手术是一种创伤小、恢复快、安全可行的手术方式,值得临床推广。“,”Objective To evaluate the clinical ef icacy of modified Miccoli operation and traditional operation in patients with thyroid tumor. Methods From February 2014 to March 2015, 279 patients with thyroid tumor were selected. 148 cases underwent modified Miccoli operation. The other 131 cases underwent traditional operation. The operation time(50.6±11.2 vs 76.8±28.5 min),peri-operative blood loss(13.7±8.2 vs 43.1±19.8 ml),length of incision(2.3±0.3 vs 6.7±2.4 cm),post-operative drain(23.6±7.4 vs 60.4±16.8ml),complication(1.3%vs 7.6%)and post-operative stay(2.8±1.2 vs 4.4±1.6 d)in Miccoli operation group and traditional operation group were compared. Results Compared to the traditional operation group,the operation time,peri-operative blood loss、length of incision, post-operative drain、complication and post-operative stay in modified Miccoli operation group were less. Statistical dif erence was found in the two groups. Conclusion Modified Miccoli operation is a minimal invasive, quick recovery, safe and feasible operation and is worth the clinical promotion.