甲状腺次全切除术与甲状腺全切除术治疗结节性甲状腺肿的疗效对比分析  

Comparison of the Efficacy of Subtotal Thyroidectomy and Total Thyroidectomy Surgery for Treatment of Nodular Goiter

作　　者：吴瑞正[1] 滕奔宇[1] 陈培升[1] 吴志懂[1] 肖顺崇[1] 

机构地区：[1]广西医科大学第八附属医院肝胆腺体外科,广西贵港537100

出　　处：《现代生物医学进展》2014年第24期4689-4691,共3页Progress in Modern Biomedicine

摘　　要：目的:研究甲状腺次全切除术与甲状腺全切除术治疗结节性甲状腺肿的临床疗效。方法:选取2011年1月至2012年12月我院收治的84例结节性甲状腺肿患者,随机分为甲状腺次全切除术组(A组)和甲状腺全切除术组(B组),比较分析两组患者围手术期指标、治疗效果及并发症发生情况。结果:A组镇痛剂使用量、手术时间、术中出血量及住院时间少于B组,差异有统计学意义(P<0.05)。A组和B组有效率差异无统计学意义(P>0.05),A组复发率高于B组,差异有统计学意义(P<0.05)。并发症发生率A组低于B组,差异有统计学意义(P<0.05)。结论:甲状腺次全切除术与甲状腺全切除术治疗结节性甲状腺肿疗效相似,甲状腺次全切除术复发率更高,但并发症发生率更低。Objective： To study the efficacy of subtotal thyroidectomy and total thyroidectomy surgery clinical for the treatment of nodular goiter. Methods： 84 cases of nodular goiter patients from January 2011 to December 2012 in our hospital were selected and randomly divided into subtotal thyroidectomy surgery group （group A） and total thyroidectomy group （group B）, a comparative analysis of two groups of patients＇ perioperative indicators, treatment and complications was observed. Results： There were significant difference in two groups in analgesic usage, operation time, blood loss and hospital stay （P〈0.05）. Groups A and B have no significant difference in efficiency （P〉0.05）, The recurrence rate of Group A was statistically higher than that of group B （P〈0.05）. The complication rate in group A was also higher than in group B, the difference was statistically significant （P〈0.05）. Conclusion： Thyroid subtotal resection and total thyroidectomy treatment have similar efficacy in treatment of nodular goiter, thyroid subtotal resection can result in higher relapse rate, but has a lower incidence of complications.

关 键 词：甲状腺次全切除术 甲状腺全切除术 结节性甲状腺肿 

分 类 号：R653[医药卫生—外科学]