转化医学电子杂志
轉化醫學電子雜誌
전화의학전자잡지
2015年
4期
78-80
,共3页
改良 Macfer 切口%甲状腺肿瘤%疤痕挛缩%功能性颈清术
改良 Macfer 切口%甲狀腺腫瘤%疤痕攣縮%功能性頸清術
개량 Macfer 절구%갑상선종류%파흔련축%공능성경청술
] improved Macfer incision%thyroid cancer%scar contracture%functional cervical dissection
目的：探究对甲状腺癌患者应用改良 Macfer 切口行功能性颈清治疗的临床效果．方法：选取本院2012-01／2014-12收治的甲状腺癌患者54例，随机分为两组，对照组实施传统颈淋巴结清除术，观察组甲状腺乳头状癌患者施行改良Macfer 切口，行规范性功能性颈清术，对比两组术后并发症．结果：两组患者的淋巴结清除个数、术后出血、淋巴漏、皮下积液、甲状旁腺功能低下、喉返神经损伤以及手术时间相比，差异无统计学意义（P ＞0．05）；观察组术后切口皮瓣坏死、无疤痕挛缩、切口疤痕不明显、耳垂感觉优于传统组，差异有统计学意义（P ＜0．05）．结论：对甲状腺癌患者应用改良 Macfer 切口行功能性颈清治疗，能够取得突出的临床疗效且患者术后不会出现严重不良反应，不影响颈淋巴结清扫效果的同时又兼顾了功能与美容，具有疤痕隐蔽、无疤痕挛缩、安全高效的优点，值得临床推广．
目的：探究對甲狀腺癌患者應用改良 Macfer 切口行功能性頸清治療的臨床效果．方法：選取本院2012-01／2014-12收治的甲狀腺癌患者54例，隨機分為兩組，對照組實施傳統頸淋巴結清除術，觀察組甲狀腺乳頭狀癌患者施行改良Macfer 切口，行規範性功能性頸清術，對比兩組術後併髮癥．結果：兩組患者的淋巴結清除箇數、術後齣血、淋巴漏、皮下積液、甲狀徬腺功能低下、喉返神經損傷以及手術時間相比，差異無統計學意義（P ＞0．05）；觀察組術後切口皮瓣壞死、無疤痕攣縮、切口疤痕不明顯、耳垂感覺優于傳統組，差異有統計學意義（P ＜0．05）．結論：對甲狀腺癌患者應用改良 Macfer 切口行功能性頸清治療，能夠取得突齣的臨床療效且患者術後不會齣現嚴重不良反應，不影響頸淋巴結清掃效果的同時又兼顧瞭功能與美容，具有疤痕隱蔽、無疤痕攣縮、安全高效的優點，值得臨床推廣．
목적：탐구대갑상선암환자응용개량 Macfer 절구행공능성경청치료적림상효과．방법：선취본원2012-01／2014-12수치적갑상선암환자54례，수궤분위량조，대조조실시전통경림파결청제술，관찰조갑상선유두상암환자시행개량Macfer 절구，행규범성공능성경청술，대비량조술후병발증．결과：량조환자적림파결청제개수、술후출혈、림파루、피하적액、갑상방선공능저하、후반신경손상이급수술시간상비，차이무통계학의의（P ＞0．05）；관찰조술후절구피판배사、무파흔련축、절구파흔불명현、이수감각우우전통조，차이유통계학의의（P ＜0．05）．결론：대갑상선암환자응용개량 Macfer 절구행공능성경청치료，능구취득돌출적림상료효차환자술후불회출현엄중불량반응，불영향경림파결청소효과적동시우겸고료공능여미용，구유파흔은폐、무파흔련축、안전고효적우점，치득림상추엄．
AIM:To explore the clinical effects of improved Macfer incision in functional cervical dissection of thyroid cancer. METHODS:A total of 54 patients with thyroid cancer and who were admitted to the hospital from January 2012 to December 2014 were selected and randomly divided into two groups.The observa-tion group was treated by conventional cervical lymph node dissec-tion,while the control group was treated by improved Macfer inci-sion and normative functional cervical dissection the implementa-tion of a traditional neck dissection.Postoperative complications of the two groups were compared.RESULTS:The number of dissected lymph node,postoperative bleeding,lymphatic leakage, subcutaneous hydrops,hypoparathyroidism,recurrent laryngeal nerve injury and the operation time were compared,and the difference was not statistically significant (P >0.05);the obser-vation group was superior to the control group concerning incision flap necrosis,scar contracture and earlobe feeling,and the differ-ence was statistically significant (P <0.05).CONCLUSION:To treat thyroid cancer patients with improved Macfer incision functional cervical dissection can achieve satisfactory clinical effi-cacy,and there are no sever adverse reactions.It can not only conserve the effect of cervical dissection,but also reserve the function and aesthetics,with hidden scar,no scar contracture, the advantages of safe and efficient.It is worthy of promotion.
