不同入路行单侧甲状腺叶全切除术治疗良性甲状腺肿瘤的效果对比

摘要

Objective To investigate the clinical effects of unilateral thyroidectomy via middle and lateral approaches in the treatment of benign thyroid tumor.Methods A total of 110 benign thyroid tumor patients underwent unilateral thyroidectomy were divided into medial approach group and lateral approach group,with 55 patients in each group according to different approaches,treated with medial approach,and lateral approach,respectively.Operation time,intraoperative blood loss,length of incision,operative drainage,postoperative hospital stay and postoperative complications rate were compared.Results The middle approach group had shorter operation time,length of incision,and postoperative hospitalization time,and less intraoperative blood loss than the lateral approach group (P ＜ 0.05),but intraoperative drainage had no significant difference (P ＞ 0.05).The middle approach group had lower incidence of complications than that in lateral approach group (P ＜ 0.05).Conclusion Compared to the lateral approach for unilateral thyroidectomy,middle incision has shorter operation time,smaller incision,less bleeding,faster postoperative recovery and less complications and has better therapeutic effect.%目的 探讨中间入路与外侧入路行单侧甲状腺叶全切除术治疗良性甲状腺肿瘤的临床效果.方法 将110例甲状腺良性肿瘤行单侧甲状腺叶全切除术患者按照不同入路方式分为中间入路组和外侧入路组,每组各55例.中间入路组患者给予中间入路单侧甲状腺叶全切除术治疗,外侧入路组给予外侧入路单侧甲状腺叶全切除术治疗,比较2组患者手术时间、术中出血量、术中引流、切口长度、术后住院时间等临床指标及术后并发症发生率.结果 中间入路组手术时间、术中出血量、切口长度和术后住院时间均明显低于外侧入路组(P＜0.05),而术中引流量差异无统计学意义(P＞0.05);中间入路组并发症发生率显著低于外侧入路组(P＜0.05).结论 相对于外侧入路行单侧甲状腺叶全切除术,中间入路行单侧甲状腺叶全切除术治疗良性甲状腺肿瘤手术时间短,术中切口小,出血量少,术后恢复快且并发症少,具有更好的治疗效果.