甲状腺全切术治疗多发性结节性甲状腺肿的效果  

Effect analysis of total thyroidectomy on multiple nodular goiter

作　　者：洪章晋 邓茂章 

机构地区：[1]雷州市人民医院,广东雷州524200

出　　处：《包头医学院学报》2016年第1期28-29,共2页Journal of Baotou Medical College

摘　　要：目的:探讨甲状腺全切术治疗多发性结节性甲状腺肿的临床效果。方法:选取2011年1月至2014年6月我院收治的多发性结节性甲状腺肿患者100例,随机分为对照组与观察组,各50例,对照组行甲状腺次全切除术,观察组行甲状腺全切除术。比较两组患者的手术时间、术后住院时间,出院后随访6个月观察术后并发症及复发情况。结果:对照组手术时间为(125.36±39.21)min,观察组手术时间为(101.56±19.35)min,两组比较差异有统计学意义(P<0.05);随访6个月,观察组术后无复发病例,对照组术后复发5例,两组比较差异有统计学意义(P<0.05);对照组术后发生并发症8例,观察组术后发生并发症3例,两组比较差异有统计学意义(P<0.05)。结论:在治疗多发性结节性甲状腺肿中,甲状腺全切术疗效较好,术后并发症及复发率较低,是一种安全有效的治疗方法,值得临床推广应用。Objective：To investigate the clinical effect of total thyroidectomy on multiple nodular goiter.Methods：100 cases of patients with multiple nodular goiter admitted in our hospital from January 2011 to June 2014 were randomly divided into con-trol group （ subtotal thyroidectomy） and observation group （ total thyroidectomy） , 50 cases in each group.The operation time and postoperative hospitalization were compared between the two groups.Complications and recurrence were observed during the 6-month follow-up after hospital discharge.Results：The operation time （125.36±39.21） min in the control group was signifi-cantly different from that in the observation group （101.56±19.35） min （ P〈0.05）;During the 6-month follow-up, there was no recurrence in the observation group while 5 cases in the control group, which difference was statistically significant （ P〈0.05）;There were 8 cases of postoperative complications in the control group and 3 cases in the observation group, and the difference of the two groups was statistically significant （ P〈0.05）.Conclusion：In the treatment of multiple nodular goiter, to-tal thyroidectomy, with better effect, lower postoperative complications and recurrence rate, is a safe and effective therapy and worthy of being widely applied in clinic.

关 键 词：甲状腺全切术 甲状腺次全切除术 多发性结节性甲状腺肿 

分 类 号：R653[医药卫生—外科学]