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改良小切口切除术对甲状腺结节治疗效果及不良反应分析

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目的 分析甲状腺结节患者应用改良小切口切除术治疗的临床效果及不良反应情况.方法 单纯随机选取2018年3月—2023年4月于郓城县中医医院普外科治疗的110例甲状腺结节患者为研究对象,按照随机数表法均分为研究组(55例,行改良小切口切除术)和对照组(55例,行甲状腺切除手术),比较两组治疗效果、术后并发症、临床相关指标、甲状腺功能、炎性因子.结果 治疗后,研究组各项甲状腺功能、炎性因子、临床相关指标均优于对照组,差异有统计学意义(P均<0.05).研究组总有效率为 98.18%,高于对照组的87.27%,差异有统计学意义(χ2=4.823,P<0.05).研究组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05).结论 改良小切口切除术治疗甲状腺结节患者可显著提升临床效果,积极改善甲状腺功能、炎性因子.
Efficacy and Adverse Reactions of Modified Small Incision Resection for Thyroid Nodules
Objective To analyze the clinical effects and adverse reactions of patients with thyroid nodules treated with modified small incision resection.Methods A total of 110 patients with thyroid nodules treated by the general surgery department in Yuncheng County Hospital of Traditional Chinese Medicine from March 2018 to April 2023 were simply and randomly selected as the study objects and divided into study group(55 cases underwent modified small incision resection)and control group(55 cases underwent thyroidectomy)according to random number table method.The therapeutic effect,postoperative complications,clinical indicators,thyroid function and inflammatory fac-tors were compared between the two groups.Results After treatment,thyroid function,inflammatory factors and clini-cal related indexes in the study group were better than those in the control group,and the differences were statistically significant(all P<0.05).The total effective rate of the study group was 98.18%,higher than that of the control group(87.27%),and the difference was statistically significant(χ2=4.823,P<0.05).The total incidence of postoperative com-plications in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Modified small incision resection for thyroid nodule patients can significantly improve the clinical effect,and actively improve thyroid function and inflammatory factors.

Modified small incision resectionThyroid nodulesTherapeutic effectAdverse reaction

李广军、杨雪芳、孙从府

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郓城县中医医院普外科,山东菏泽 274700

改良小切口切除术 甲状腺结节 治疗效果 不良反应

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(6)
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