改良Miccoli术式与传统术式在甲状腺腺叶切除中的效果比较

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Abstract Objective To compare the effect of modified Miccoli and traditional open surgery in the treatment of thyroid gland lobectomy. Methods From June 2014 to June 2017, in Fushun Central Hospital, 144 patients with benign thyroid diseases were selected, they were divided into control group and observation group, with 72 cases in each group, according to the random number table method, observation group was given modified Miccoli surgery, control group was given traditional surgery. The surgical indexes such as the length of incision, the time of operation, the surgical indexs, VAS and RSI scores postoperative 3 days, VHI score postoperative of 3 months and cosmetic effect in two groups were compared, and the incidence of blood calcium, parathyroid hormone (PTH) before and after operation and the incidence of complications in two groups were compared. Results The postoperative drainage volume in observation group was lower than control group, the hospitalization time was shorter than control group, and the recovery time of cervical movement was earlier than control group, the differences were statistically significant (P < 0.01); compared with control group, the patients in observation group had less flow rate, shorter hospitalization time and faster recovery time in the neck, the differences were statistically significant (P < 0.01). After 3 days of operation, the VAS score observation group was significantly lower than control group, the difference was statistically significant (P < 0.01). But there was no significant difference in RSI score and VHI score between two groups after the operation 3 months. After 3 days of operation, the level of blood calcium and PTH in observation group was significantly higher than control group, the differences were statistically significant (P < 0.01). The incidence of adverse reactions in observation group was significantly lower than control group, the differences were statistically significant (P < 0.01). Conclusion Modified Miccoli is better than traditional operation in the treatment of thyroid lobectomy. It has the advantages of less trauma, quicker recovery and better appearance. It helps maintain the stability of blood calcium and PTH, and has fewer side effects. It is worthy of clinical promotion.

Key words： Thyroid gland lobectomy Modified Miccoli surgery Traditional surgery Parathyroid hormone

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	CHEN Liang1 SONG Zhanchun2 QIN Wei1 SUN Zining1

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CHEN Liang1 SONG Zhanchun2 QIN Wei1 SUN Zining1. A comparative study of modified Miccoli and traditional surgery in treatment of thyroid gland lobectomy[J]. 中国医药导报, 2018, 15(11): 131-134.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I11/131

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