CAJ | 학술논문

目的：探讨小切口改良手术在甲状腺切除术中临床应用价值。方法：选取2012年1月至2012年12月在我院行甲状腺手术患者60例为研究对象，采用对比研究，根据患者手术方式的不同分为传统手术组（30例）和小切口手术组（30例），分析比较两组患者在手术过程中及手术后的相关指标，包括切口大小、手术时间、平均出血量、住院时间、引流量、引流时间、并发症发生率以及美观满意度，探讨其的临床应用价值。结果：60例手术均获得成功，两组患者切口大小、手术时间以及平均出血量差别有统计学意义（ P＜0．05），其中传统手术组的切口大小与平均出血量均大于小切口手术组，其手术时间小于小切口手术组；两组患者住院时间、引流量、引流时间以及并发症发生率相比，差别有统计学意义（P＜0．05），其中传统手术组的各项指标均高于小切口手术组；两种患者术后美观满意度比较，差别有统计学意义（P＜0．05），传统手术组低于小切口手术组。结论：小切口改良手术在甲状腺切除术中具有切口小、并发症发生率小、美观满意度高等优点，值得进一步推广应用。
목적：탐토소절구개량수술재갑상선절제술중림상응용개치。방법：선취2012년1월지2012년12월재아원행갑상선수술환자60례위연구대상，채용대비연구，근거환자수술방식적불동분위전통수술조（30례）화소절구수술조（30례），분석비교량조환자재수술과정중급수술후적상관지표，포괄절구대소、수술시간、평균출혈량、주원시간、인류량、인류시간、병발증발생솔이급미관만의도，탐토기적림상응용개치。결과：60례수술균획득성공，량조환자절구대소、수술시간이급평균출혈량차별유통계학의의（ P＜0．05），기중전통수술조적절구대소여평균출혈량균대우소절구수술조，기수술시간소우소절구수술조；량조환자주원시간、인류량、인류시간이급병발증발생솔상비，차별유통계학의의（P＜0．05），기중전통수술조적각항지표균고우소절구수술조；량충환자술후미관만의도비교，차별유통계학의의（P＜0．05），전통수술조저우소절구수술조。결론：소절구개량수술재갑상선절제술중구유절구소、병발증발생솔소、미관만의도고등우점，치득진일보추엄응용。
Objective:To explore clinical value of the improved small incision surgery in the thyroidec-tomy .Method:Selected 60 patients with thyroid surgery in our hospital from January to December 2012 .The patients were divided into conventional traditional surgery group ( 30 cases ) and small incision surgery group ( 30 cases) according to surgical methods .Compared the related indicators of patients in two groups during and after surgery ,all the indicators include incision size , operation time , average blood loss , hospital stay , drainage , drainage time , the incidence of complications and anesthetic satisfaction .Result: 60 cases were operated successfully ,the difference of two groups in incision size , operative time , and average blood loss was statistically singificant ( P <0.05 ) .The incision size and average blood loss of the traditional surgery group were more than that of the small incision surgery group .The operative time of the traditional surgery group was less than that of the small incision surgery group .The difference of two groups of patients in hospi-tal stay, drainage, drainage time , the incidence of complications was statistically significant ( P <0.05).All the indicators above of the traditional surgery group were more than that of the small incision surgery group . The difference of two groups of patients in satisfaction of postoperative appearance was statistically significant ( P <0.05).The small incision surgery group was higher than the traditional surgery group .Conclusion:The improved small incision surgery thyroidectomy has the advantage of smaller incision , smaller complication in-cidence , beautiful and high satisfaction ,and worthy of further promotion .