结节性甲状腺肿手术治疗50例分析  

The Analysis of Surgical Treatment 50 Cases Nodular Goiter

作　　者：张开东[1] 

机构地区：[1]常州市新北区孟河人民医院,江苏常州213138

出　　处：《中国现代医生》2011年第27期36-37,共2页China Modern Doctor

摘　　要：目的探讨结节性甲状腺肿的合理手术方式。方法回顾性分析50例结节性甲状腺肿患者的临床资料,对比单纯甲状腺结节摘除术、甲状腺次全切术及甲状腺近全切术的临床疗效、并发症、复发及二次手术情况。结果次全切术组有效率(96.29%)明显高于单纯摘除术组(66.67%)及近全切术组(71.43%),相比有显著性差异(P<0.05);而并发症发生率以次全切术组最低,同近全切术比有显著性差异(P<0.05);术后复发及二次手术情况以单纯摘除术最多,相比有显著性差异(P<0.05)。结论结节性甲状腺肿手术以甲状腺次全切术较为合理,能显著提高疗效、减少并发症,降低复发率及二次手术率,可作为其标准术式。Objective To explore the reasonable surgical approach for nodular goiter. Methods Retrospective analysis the clinical data of 50 cases nodular goiter patients, and to compare nearly all the clinical efficacy, complications, recurrence and second surgery situation simple excision of thyroid nodules, thyroid surgery and subtotal thyroid resection. Results Subtotal resection group was significantly higher than 96.29%,66.67% enucleation group near total resection group and 71.43%, a significant difference compared （P 〈 0.05 ） .While inferior race, the incidence of complications Hysterectomy Group the lowest, compared with the near total resection of a significant difference （ P 〈 0.05 ）. Recurrence and second surgery, simple excision of the most significant difference compared （P 〈 0.05 ）.Conclusion Nodular goiter with subtotal thyroidectomy surgical resection is more reasonable, and it can significantly improve efficacy, reduce complications, reduce the relapse rate and reoperation rate, as its standard operation.

关 键 词：结节性甲状腺肿 手术方式 

分 类 号：R581.3[医药卫生—内分泌]