经胸锁乳突肌内缘小切口单侧甲状腺手术的临床观察

发布时间：2018-10-19 16:37

【摘要】：目的探讨在颈丛阻滞麻醉下采用经胸锁乳突肌内侧缘小切口行单侧甲状腺手术的技巧和临床价值。方法回顾性分析2010年8月至2012年8月于南阳市中心医院乳腺甲状腺外科接受经胸锁乳突肌内侧缘小切口入路单侧甲状腺手术患者50例(实验组)和同期接受经颈前弧形切口入路单侧甲状腺手术患者48例(对照组)。比较两组患者的手术切口长度、手术时间、术中出血量、切口水肿、术后住院天数及术后患者颈部紧缩感、吞咽不适等情况。结果两组患者均于颈丛阻滞麻醉下顺利完成手术。实验组与对照组术后住院时间比较差异无统计学意义(P0.05);而切口长度、手术时间、术中出血量、术后切口水肿、颈部紧缩感、吞咽不适等方面比较,实验组明显优于对照组,差异有统计学意义(P0.05)。结论经胸锁乳突肌内侧缘小切口行单侧甲状腺肿块切除术疗效确切,患者创伤小、术后生活质量较高,值得临床推广应用。
[Abstract]:Objective to explore the technique and clinical value of unilateral thyroidectomy through the medial margin of sternocleidomastoid muscle under cervical plexus block anesthesia. Methods from August 2010 to August 2012, 50 patients underwent unilateral thyroid surgery via the medial margin of the sternocleidomastoid muscle in the Department of Breast thyroid surgery, Nanyang Central Hospital, from August 2010 to August 2012. 48 patients with unilateral thyroidectomy via anterior arc incision (control group). The length, time, amount of blood loss, incision edema, postoperative hospital stay, neck contraction and dysphagia were compared between the two groups. Results the operation was successfully completed in both groups under cervical plexus block anesthesia. There was no significant difference in postoperative hospital stay between the experimental group and the control group (P0.05); the length of incision, operative time, intraoperative bleeding volume, postoperative incision edema, neck contraction, swallowing discomfort and so on, the experimental group was significantly better than the control group. The difference was statistically significant (P0.05). Conclusion unilateral thyroidectomy via the medial margin of sternocleidomastoid muscle is effective, with less trauma and higher quality of life, which is worthy of clinical application.
【作者单位】：河南省南阳市中心医院乳腺甲状腺外科;复旦大学附属华山医院普外科;
【分类号】：R653

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