摘要
目的总结低位切口及五钳法术式在甲状腺次全切除术中应用的优缺点。方法对外科手术治疗的337例甲状腺功能亢进症患者按2∶1比例随机分为两组,改进组223例采用低位切口及五钳法甲状腺次全切除术式;经典组114例采用经典甲状腺次全切除术式。对两组在手术时间、术中、术后出血量、并发症发生率、术后复发等方面进行比较分析。结果手术时间比较:改进组(66.33±25.11)min,经典组(121.27±42.35)min(t=12.75,P<0.01);术中术后失血量比较:改进组(125±40)ml,经典组(170±45)ml(t=9.01,P<0.01);两组并发症比较无差异(P>0.05);术后复发率比较两组差异显著(P<0.01)。结论低位切口较美观,五钳法甲状腺次全切除术具有减少术中、术后出血量,术野清晰,手术时间短,容易掌握保留腺体量,复发率低等优点,是治疗甲状腺功能亢进症的较佳术式。
Objective To study the clinical effectiveness of low cut and five dissector thyroidectomy to treat hyperthyroidism. Methods 337 cases of hyperthyroidism were randomly divided into study group（ low cut and five dissector technique,223 cases） and control group（traditional technique, 114 cases） according to the ratio of two： operating time, bleeding, complications, recur were compared between these two groups. Results The operating time of the study group and control group were （66.33 ± 25.11 ） min and （ 121.27 ± 42.35 ） min （ t = 12.75, P 〈 0.01 ）. The bleeding volume were （ 125 ± 40 ） ml and （ 170 ± 45 ） ml（ t = 9.01, P 〈 0.01 ）. The complications were less divergence （ P 〉 0.05）. The rate of recurrence was marked（P 〈 0.01 ）. Conclusion Low cut and five dissector technique have advantages over traditional technique in beautifully, reducing operating time, bleeding, easy to keep grant, low recur. It is a good way to treat hyperthyroidism.
出处
《中国基层医药》
CAS
2006年第2期268-269,共2页
Chinese Journal of Primary Medicine and Pharmacy
