巨大甲状腺瘤手术的术式选择(附66例报告)  

Choice of operation type for huge thyroid tumor surgery(66 case reports attached)

作　　者：石尧机 彭定军[2] 姚立平[2] 吴海峰[2] 叶小武[2] 肖静[2] MAAZOU HALODOU ISSAANGO 

机构地区：[1]中华人民共和国援非尼日尔医疗队 [2]广西壮族自治区北海市人民医院耳鼻咽喉科,536000 [3]非洲尼日尔共和国马拉迪医院

出　　处：《淮海医药》2014年第6期537-539,共3页Journal of Huaihai Medicine

摘　　要：目的探讨巨大甲状腺瘤的临床疗效。方法采用回顾性分析方法对2008年11月-2011年11月马拉迪医院收住的66例巨大甲状腺瘤患者临床治疗进行分析。所有患者均术后病理确诊,将其随机分为观察组35例和对照组31例,对2组患者分别施行改良术式和传统术式(+喉返神经解剖术),比较2组患者的手术效果及并发症发生率等。结果观察组总的效果明显优于对照组,差异有统计学意义(P<0.05)。结论治疗巨大甲状腺瘤,改良术式的疗效及术后不适症状改善方面较传统术式组优势较为明显。Objective investigate the clinical effect of West African huge thyroid tumor surgery under simple condi- tions. Methods 66 cases of patients with huge thyroid tumor were retrospectively analyzed who were admitted into Maradi Hospital from November 2008 to November 2011. All the patients were pathologically diagnosed after operation and were ran- domly divided into an observation group （ n = 35 ） and a control group （ n = 31 ）. Patients in the two groups underwent reformed operation and conventional operation （ ＋ recurrent laryngeal nerve dissection） respectively. The surgical effect and the incidence of complication of the two groups were compared. Results The total effect of the observation group was much better than that of the control group. The difference was statistically significant （ P 〈 0.05 ）. Conclusion For the treatment of huge thyroid tumor,the reformed type of operation has remarkable advantage in therapeutic effect. It is worth to be clinically promoted.

关 键 词：甲状腺肿瘤 外科手术 治疗结果 

分 类 号：R736.1[医药卫生—肿瘤]