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目的观察小切口改良切除术治疗甲状腺隙瘤的临床疗效。方法术前诊断甲状腺腺瘤或结节的患者42例,采用小切口改良切除术治疗,观察患者术中及术后情况。结果 42例患者全部成功进行了小切口甲状腺腺瘤切除术,手术时间为38～110 min,平均60 min;术中出血量为20～45 ml,平均25 ml。术中、术后无发音和吞咽障碍等并发症。术后住院时间为2～7 d,平均4 d。随访6个月,切口呈线状,无瘢痕隆起,无异物结节形成。结论小切口改良切除术治疗甲状腺腺瘤切口瘢痕较小,治疗效果满意。
Objective To observe the clinical effect of small incision modified excision for the treatment of thyroid cystadenoma. Methods Forty-two patients with thyroid adenoma or nodule were diagnosed preoperatively. The patients were treated by small excision and excision. The intraoperative and postoperative conditions were observed. Results All the 42 patients successfully performed small incision thyroid adenoma excision. The operation time ranged from 38 to 110 minutes with an average of 60 minutes. The blood loss was from 20 to 45 ml (mean, 25 ml). Intraoperative and postoperative no pronunciation and swallowing complications such as complications. The postoperative hospital stay was 2 to 7 days, with an average of 4 days. Follow-up 6 months, the incision was linear, no scar uplift, no foreign body nodules. Conclusion Small incision modified excision for the treatment of thyroid adenoma incision scar smaller, the treatment effect is satisfactory.