CAJ | 학술논문

目的探讨基层医院颈部小切口在甲状腺良性肿瘤手术中的疗效及安全性.方法总结我科2010年2月至2014年1月248例甲状腺良性疾病行甲状腺切除术的患者,其中传统手术62例,颈部小切口186例,分析两组患者的手术时间、出血量及并发症发生情况.结果 62例传统手术患者手术时间平均为(57±19.3) min,前20例小切口手术患者手术时间平均为(70±17.1)min,后166例小切口手术患者手术时间平均为(51-22.2) min.两组喉返神经损伤各1例,传统手术组甲状旁腺功能减退1例,两组均无喉上神经损伤、术后出血及短期复发.结论颈部小切口手术方式在甲状腺切除术中有良好效果,不增加手术并发症,切口小、达到美容效果,适合在基层医院推广.
목적 탐토기층의원경부소절구재갑상선량성종류수술중적료효급안전성.방법 총결아과2010년2월지2014년1월248례갑상선량성질병행갑상선절제술적환자,기중전통수술62례,경부소절구186례,분석량조환자적수술시간、출혈량급병발증발생정황.결과 62례전통수술환자수술시간평균위(57±19.3) min,전20례소절구수술환자수술시간평균위(70±17.1)min,후166례소절구수술환자수술시간평균위(51-22.2) min.량조후반신경손상각1례,전통수술조갑상방선공능감퇴1례,량조균무후상신경손상、술후출혈급단기복발.결론 경부소절구수술방식재갑상선절제술중유량호효과,불증가수술병발증,절구소、체도미용효과,괄합재기층의원추엄.
Objective To explore the efficacy and safety of mini-incision in thyroidectomy in primary hospital.Methods 248 cases of thyroid benign diseases undergoing thyroidectomy in our department from February 2010 to January 2014 were selected,including 62 cases of traditional surgery and 186 cases of jugular mini-incision.Compared operative time,blood loss and complications of two groups.Results The average operative time of 62 cases of traditional surgery was (57 ± 19.3)min,that of former 20 cases of mini-incision was (70±17.1)min,that of latter 166 cases of mini-incision was (51 ± 22.2)min.There was 1 case of recurrent laryngeal nerve injury in both two groups,1 case of hypoparathyroidism in traditional surgery group,without superior laryngeal nerve injury,postoperative blood loss or short-term recurrence in any group.Conclusion Mini-incision in thyroidectomy has a good effect,without surgical complications increased,with cosmetic result,worthy of clinical promotion in primary hospital.