单侧经胸锁乳突肌内侧缘小切口入路甲状腺手术的临床效果分析

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Abstract ObjectiveTo study the unilateral by sternocleidomastoid inside edge the clinical effect of small incision in the thyroid surgery.Methods100 patients with thyroid surgery from January 2013 to January 2016 in Xiamen University Hospital were selected as the research object,according to random number table method they were divided into observation group and control group,50 cases in each group.Patients of the observation group were given the unilateral sternocleidomastoid inside edge small incision in the way of operation,and the control group was given the operation with the center of the white line into the neck surgery way.The total time,expose thyroid time,intraoperative blood loss, hospitalization time,incision length of patients in two groups were observed,postoperative complications of patients in the two groups were recorded and statistical analyzed.ResultsThe total time of operation,time of revealing thyroid,intraoperative blood loss,hospital stay,incision length of the observation group were significantly better than the control group,the differences were statistically significant(P<0.05);3 patients with postoperative complications of the observation group,and the incidence was 6.0%;while 18 patients with postoperative complications in the control group,and the incidence was 36.0%,the the incidence of postoperative complications in the observation group was significantly lower than the control group,the difference was statistically significant(P<0.05).ConclusionThyroid surgery with unilateral sternocleidomastoid inside edge small incision approach can get more clear anatomical level,is conducive to reducing surgical injury,has the vital significance to improve the treatment effect of patients.

Key words： Thyroid Unilateral Sternocleidomastoid Medial margin Small incision

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	CAI He-jie
	LI Zhi

Cite this article:

CAI He-jie,LI Zhi. Analysis of the clinical effect of small incision in the thyroid surgery unilateral by sternocleidomastoid inside edge[J]. 中国当代医药, 2017, 24(11): 58-60.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I11/58

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