甲状腺腺叶切除术治疗甲状腺单叶良性病变的临床研究  

Treating patients of unilateral benign thyroid disease with hemithroidectomy

作　　者：许健[1] 章远江[1] 金科[1] 顾晓红[1] 

机构地区：[1]江苏省常熟市第二人民医院乳腺甲状腺外科,215500

出　　处：《中华全科医师杂志》2014年第10期846-848,共3页Chinese Journal of General Practitioners

摘　　要：将128例甲状腺单叶良性病变病例根据手术方式分为腺叶切除术组（68例）、次全切除术组（60例）.腺叶切除术组手术时间（63±14） min、术中出血量（54±15）ml、术后引流量（64±10）ml、住院天数（5.9±0.8）d、住院费用（8 335±278）元,均少于次全切除术组（均P＜0.05）.两组患者术后声音嘶哑、饮水呛咳、低钙、甲状腺功能减低发生率差异均无统计学意义（均P ＞0.05）,但术后复发率腺叶切除术组低于次全切除术组（P＜0.05）.腺叶切除术治疗甲状腺单叶良性病变效果良好,值得临床推广应用.According to operative modalities,128 patients with unilateral benign thyroid disease were divided into hemithyroidectomy group （n =68） and subtotal thyroidectomy group （n =60）.The operative duration of hemithyroidectomy group was （63 ± 14） min,intraoperative blood loss （54 ± 15） ml,postoperative drainage volume （64 ± 10） ml and hospitalization stay （5.9 ±0.8） days.The hospital charge of （8 335 ± 278） yuan was less than that of subtotal thyroidectomy group （P 〈 0.05）.The incidence rate of postoperative hoarseness,water bucking,low calcium and hypothyroidism had no significant inter-group difference （P 〉 0.05）.But the postoperative recurrence rate of hemithyroidectomy was significantly lower than that of subtotal thyroidectomy group （P 〈 0.05）.Treating patients of unilateral benign thyroid disease with hemithyroidectomy yield excellent efficacies.It is worthy of wider clinical application.

关 键 词：甲状腺肿瘤 甲状腺切除术 

分 类 号：R653[医药卫生—外科学]