CAJ | 학술논문

目的：探讨小切口手术治疗甲状腺肿瘤的效果。方法选取本院收治的398例甲状腺肿瘤患者作为研究对象，根据手术方法的不同分为观察组(268例)和对照组(130例)。观察组采用小切口切除术治疗，对照组采用传统甲状腺切除术治疗，比较两组的手术时间、切口长度、术中出血量、术后住院时间及并发症发生率。结果观察组的手术时间、切口长度及术后住院时间显著短于对照组，差异有统计学意义(P<0.01)。观察组的术中出血量显著少于对照组，差异有统计学意义(P<0.01)。观察组的术后并发症发生率显著低于对照组，差异有统计学意义(P<0.05)。结论采用小切口手术治疗甲状腺肿瘤可获得较好的治疗效果和美容效果，具有创伤小、美观、操作简便、恢复快等优点，值得临床推广应用。
목적：탐토소절구수술치료갑상선종류적효과。방법선취본원수치적398례갑상선종류환자작위연구대상，근거수술방법적불동분위관찰조(268례)화대조조(130례)。관찰조채용소절구절제술치료，대조조채용전통갑상선절제술치료，비교량조적수술시간、절구장도、술중출혈량、술후주원시간급병발증발생솔。결과관찰조적수술시간、절구장도급술후주원시간현저단우대조조，차이유통계학의의(P<0.01)。관찰조적술중출혈량현저소우대조조，차이유통계학의의(P<0.01)。관찰조적술후병발증발생솔현저저우대조조，차이유통계학의의(P<0.05)。결론채용소절구수술치료갑상선종류가획득교호적치료효과화미용효과，구유창상소、미관、조작간편、회복쾌등우점，치득림상추엄응용。
Objective To explore the effect of small incision operation in the treatment of thyroid tumor. Methods 398 cases with thyroid tumor in our hospital were selected and divided into the observation group(268 cases) and the control group (130 cases) according to different surgical methods.The observation group was treated with small incision resec-tion,the control group was treated with traditional thyroidectomy.Operation time,incision length,intraoperative blood loss, postoperative hospitalization time and incidence of complications was compared respectively. Results Operation time,in-cision length,postoperative hospitalization time in the observation group was shorter than that in the control group,with significant difference (P<0.01).Intraoperative blood loss in the observation group was less than that in the control group, with significant difference(P<0.01).The incidence of complications was lower than that in the control group,with signifi-cant difference (P<0.05). Conclusion Small incision operation in the treatment of thyroid tumor can obtain a favorable therapeutic effect and cosmetic result,which has advantages of small wound,beauty,easy performance and quick recov-ery,it is worthy of clinical promotion and application.