探讨改良小切口甲状腺切除术在甲状腺手术中的临床应用价值。

回顾性分析我科2006年10月至2010年4月应用改良小切口行甲状腺手术治疗的78例甲状腺结节的临床资料，手术要点包括.切口选择在胸骨上窝处，切口小以及应用超声刀。

本组78例疗效满意，切口长度3.0~3.5 cm，手术时间30~95 min，术中出血量少，术后无声音嘶哑，无继发性出血或血肿等并发症。切口一期愈合，于术后第2~4 d出院，住院时间4~5 d。随访5~24个月，手术切口瘢痕细小、美观。

改良小切口甲状腺切除术是一种安全、有效的治疗方法，且创伤小、并发症少、恢复快、美容效果好，患者满意度高，值得临床推广应用。

To analyze the clinical value of modified low small incision for thyroidectomy.

Seventy-eight cases of thyroid nodule underwent the modified low small incision for thyroidectomy from October 2006 to April 2010 were retrospectively analyzed. Highlights of the modified surgery included section choice is in the suprasternal fossa and in a low position, small incision and using an ultrasound scalpel.

The incisions were 3.0-3.5 cm in length and the operation took 30-95 minutes. There was very little bleeding during the procedures. No postoperative complications, such as hoarse voice, hematoma was observed. The patients were discharged 2-4 days after the operation, and the hospitalization time was 4-5 days. All the patients were followed up for 5-24 months.

The modified low small incision for thyroidectomy is a safe and effective method, which features less trauma and quick recovery and an aesthetic effect, and therefore is worth promoting in clinical practice.