Comparison of clinical effects between modified small incision surgery and traditional thyroidectomy in the treatment of thyroid tumors
Objective To explore the clinical efficacy of modified small incision surgery and traditional thyroidectomy in the treatment of thyroid tumors.Methods 60 patients with thyroid tumor were invited to participate in the study.The sequence number of patients admitted to the hospital was used as the basis for grouping,and the patients were divided into a control group and an observation group,each with 30 cases.The control group was given traditional thyroidectomy,and the observation group was given modified small incision surgery.Both groups were compared in terms of operation-related indicators,degree of pain,incidence of complications,thyroid function indicators[free triiodothyronine(FT3),free thyroxine(FT4),thyroid stimulating hormone(TSH)],stress indicators[cortisol(Cor),norepinephrine(NE)]before and after surgery.Results The operation time and hospitalization time in the observation group were(54.32±9.71)min and(4.35±0.74)d,which were shorter than(62.03±10.02)min and(7.12±0.66)d in the control group;the observation group had less intraoperative blood loss of(53.00±5.96)ml than(85.97±6.80)ml in the control group;the observation group had smaller incision size of(4.53±0.46)cm than(7.11±0.62)cm in the control group(P<0.05).The observation group had lower visual analogue scale(VAS)score of(2.38±0.19)points,which was lower than(5.09±0.48)points in the control group(t=28.753,P=0.000<0.05).The complication rate of the observation group was 3.33%,which was lower than 20.00%of the control group(P<0.05).After surgery,the observation group had FT3 of(5.84±0.96)pmol/L and FT4 of(5.32±1.01)pmol/L,which were higher than(5.32±1.01)and(12.99±2.49)pmol/L in the control group;the observation group had lower TSH of(2.08±0.59)mU/L than(2.57±0.76)mU/L in the control group(P<0.05).After surgery,the observation group had Cor level of(251.62±13.31)μg/L,which was lower than(283.06±10.61)μg/L in the control group(P<0.05).After surgery,the NE level of the observation group was(333.10±12.42)μg/L,which was lower than(406.08±12.61)μg/L of the control group(P<0.05).Conclusion The modified small incision surgery for thyroid tumor patients can achieve excellent therapeutic effect,and improve the indicators in the operation process,the patient's pain,complications and the patient's stress,which is worthy of promotion and application.
Modified small incision surgeryThyroid tumorsOperation-related indicatorsDegree of painIncidence of complicationsThyroid functionStress level
NETL
NSTL
万方数据
维普
