目的探讨小切口微创治疗甲状腺腺瘤的临床效果及患者前白蛋白(PA)、视黄醇结合蛋白(RBP)和C反应蛋白(CRP)水平的变化。方法甲状腺腺瘤患者96例,分为试验组和对照组。其中试验组46例,采用小切口微创手术治疗进行治疗;对照组50例,采用传统甲状腺腺瘤手术方式进行治疗。比较两组手术时间、术中出血量、切口长度、术后引流量、住院时间、不良反应发生情况以及治疗前后血清PA、RBP和CRP水平变化。结果试验组手术时间、术中出血量、切口长度、术后引流量和住院时间均少于对照组,两组比较,差异有统计学意义(P<0.05)。试验组患者术后并发症发生率为4.35%(2/46),明显低于对照组的18.00%(9/50),两组比较,差异有统计学意义(P<0.05)。治疗前,两组PA、RBP和CRP水平比较,差异无统计学意义(P>0.05)。治疗后,试验组血清PA、RBP和CRP水平分别为(0.27±0.05)g/L、(27.42±3.72)mg/L和(7.73±1.23)mg/L;对照组分别为(0.23±0.03)g/L、(23.68±4.03)mg/L和(9.05±1.36)mg/L,两组比较,差异均有统计学意义(P<0.05)。结论采用小切口微创手术治疗甲状腺腺瘤具有安全有效兼具美容的优点,效果显著,值得临床推广。
ObjectiveTo explore the clinical effect of small incision minimally invasive surgery in treatment of thyroid adenoma,and changes of prealbumin(PA), retinol-binding protein(RBP) and C-reactive protein(CRP) in patients. MethodsA total of 96 cases with thyroid adenoma were divided into experimental group and control group. The experimental group was given minimally invasive surgery(46 cases),and the control group was given traditional thyroid adenoma surgery(50 cases). The operation time, blood loss, length of incision, drainage, hospital stay,adverse events and the levels of serum PA, RBP and CRP before and after treatment were compared. ResultsThe operation time, blood loss, length of incision, drainage, hospital stay of experimental group were better than that of control group,the differences were statistically significant (P<0.05); The incidence of postoperative complications of experimental group was 4.35%(2/46),and the control group was 18.00%(9/50), the difference was statistically significant (P<0.05). Before treatment, there was no significant difference in the level of PA, RBP and CRP between the two groups (P>0.05) . After treatment,the level of serum PA, RBP and CRP of the experimental group were (0.27±0.05) g/L, (27.42±3.72) mg/L and (7.73±1.23) mg/L;the control group were (0.23±0.03) g/L, (23.68±4.03) mg/L and (9.05±1.36) mg/L,The levels of PA and RBP of the control group were significantly lower than the experimental group(P<0.05);while the levels of CRP in the control group was significantly higher than that in the experimental group (P<0.05). ConclusionMinimally invasive surgery treatment on thyroid adenoma has the advantage of safe ,effective and beauty,as is effective and worthy of popularization.