摘要
目的分析不同手术方法治疗甲状腺肿瘤的效果及对视觉模拟评分法(VAS)评分的影响。方法90例良性甲状腺肿瘤患者,随机分为A组、B组、C组,每组30例。A组采取开放手术,B组患者采取胸乳入路腹腔镜手术,C组采取微波手术。比较三组患者术后并发症发生情况以及术后不同时间VAS评分。结果B组、C组患者术后并发症发生率分别为3.3%、6.7%,明显低于A组的26.7%,差异具有统计学意义(P<0.05);B组、C组患者术后并发症发生率比较差异无统计学意义(P>0.05)。术后6、12、24、48 h,B组、C组患者VAS评分均明显低于A组,差异具有统计学意义(P<0.05);B组、C组患者VAS评分比较差异无统计学意义(P>0.05)。结论腹腔镜手术以及微波手术能够有效减轻手术对甲状腺肿瘤患者的损伤,从而减轻患者术后疼痛情况,同时能够减少术后并发症的发生,值得推广使用。
Objective To analyze the effect of different surgical methods on thyroid tumor and its influence on visual analogue scale(VAS)score.Methods A total of 90 patients with benign thyroid tumor were randomly divided into group A,group B and group C,with 30 cases in each group.Group A underwent open surgery,group A underwent laparoscopic surgery through breast milk approach,and group C underwent microwave surgery.The occurrence of postoperative complications and VAS score at different time points were compared among the three groups.Results The incidence of postoperative complications of group B and group C were 3.3%and 6.7%,which were obviously lower than that of group A 26.7%,and the difference was statistically significant(P<0.05).There was no statistically significant difference in incidence of postoperative complications between group B and group C(P>0.05).6,12,24 and 48 h after surgery,VAS score of group B and group C were obviously lower than that of group A,and the difference was statistically significant(P<0.05).There was no sstatistically significant difference in VAS score between group B and group C(P>0.05).Conclusion Laparoscopic surgery and microwave surgery can effectively reduce the injury to thyroid tumor patients,thus reducing the postoperative pain,and the incidence of postoperative complications,which is worth popularizing and applying.
作者
史振军
黄水才
杨振淮
SHI Zhen-jun;HUANG Shui-cai;YANG Zhen-huai(Department One of Surgery,Guangzhou Hospital of Traditional Chinese Medicine,Guangzhou 510130,China)
出处
《中国实用医药》
2020年第17期45-47,共3页
China Practical Medicine
