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di wei yan chang ling shi qie kou zai jia zhuang xian ai gen zhi shu zhong ying yong de yan jiu
Author(s): 
Pages: 60-61
Year: Issue:  32
Journal: Chinese Journal of Postgraduates of Medicine

Keyword:  甲状腺肿瘤颈淋巴结清扫术治疗结果;
Abstract: 目的 探讨低位延长领式切口改善甲状腺癌根治术手术切口的美观程度并评价与传统切口在疗效、生活质量、并发症等方面的差异.方法 观察39例做低位延长领式切口(试验组)和27例采用常规的颈部"L"形切口(对照组)的清扫范围达标率、并发症发生率、对美观效果的主观满意度、生存率.结果 试验组在手术中均能基本达到传统的清扫范围.试验组与对照组近、远期并发症总体发生率差异无统计学意义(P>0.05).患者对美观效果的主观满意度试验组69.2%(27/39)高于对照组25.9%(7/27),差异有统计学意义(P<0.05).除1例试验组患者术前已发现骨转移,于术后18个月死亡外,两组经随访均无瘤生存,差异无统计学意义.结论 低位延长领式切口在甲状腺癌根治术中不影响疗效,不增加并发症,能明显改善美观效果.
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