双侧结节性甲状腺肿采取不同手术方案治疗的临床疗效分析  

Analysis of Clinical Curative Effect of Different Operation Plans in Bilateral Nodular Goiter

作　　者：吕庆福[1] 周好[1] 过兆基[1] 曹苇[1] LV Qing-fu;ZHOU Hao;GUO Zhao-ji;CAO Wei(Department of General Surgery,First Hospital Affiliated to Suzhou University,Suzhou,Jiangsu Province,215006 China)

机构地区：[1]苏州大学附属第一医院普外科,江苏苏州215006

出　　处：《中外医疗》2017年第34期86-88,共3页China & Foreign Medical Treatment

摘　　要：目的探究采用不同手术方法对双侧结节性甲状腺肿的效能。方法研究对象为方便选取2013年6月—2015年6月收入的122例双侧结节性甲状腺肿患者,用随机排列表法分为观察组及对照组,61例采取甲状腺全切术作为观察组,另61例采取甲状腺次全切术作为对照组,探究2种手术方法对术后疗效及并发症的影响。结果观察组(98.36%)比对照组(96.72%)总有效率略高,但两组比较差异无统计学意义(P>0.05);两组患者整个治疗期间,观察组的住院时间(6.23±0.83)d及手术时间(101.25±10.13)min比对照组(9.67±1.29)d,(135.78±13.28)min分明显少(t=20.731、16.147,P<0.05);在并发症的发生率上,两组患者组间资料差异无统计学意义(8.20%,7.70%)(χ2=0.116,P=0.734);出院后2年内观察组的复发率(1.64%)明显比对照组复发率(8.20%)少,差异有统计学意义(P<0.05)。结论实行甲状腺全切术虽然与次全切术在疗效及并发症上十分接近,但是在住院时间、手术时间及复发率上均明显优于甲状腺次全切术。值得临床推广使用。Objective To study the effect of different operation plans in bilateral nodular goiter.Methods 122 cases of patients with bilateral nodular goiter admitted and treated in our hospital from June 2013 to June 2015 were convenient selected and randomly divided into two groups with 61 cases in each,the observation group and the control group were respectively treated with total thyroidectomy and subtotal thyroidectomy,and the effect of the two operation methods on the postoperative curative effect and complications were studied.Results The total effective rate in the observation group was slightly higher than that in the control group(98.36%vs 96.72%),and the difference was not statistically significant(P>0.05),and the length of stay and operation time in the observation group in the whole treatment period were obviously lower than those in the control group[(6.23±0.83)d,(101.25±10.13)min vs(9.67±1.29)d,(135.78±13.28)min],(t=20.731,16.147,P<0.05);and the difference in the incidence rate of complications between the two groups was not statistically significant(8.20%,7.70%)(χ2=0.116,P=0.734),in two years after discharge,the recurrence rate in the observation group was lower than that in the control group(1.64%vs 8.20%),the difference was statistically significants(P<0.05).Conclusion The curative effect and incidence rate of complications of total thyroidectomy and subtotal thyroidectomy are similar,however,the length of stay,operation time and recurrence rate are obviously better than those of total thyroidectomy,which is worth clinical promotion and application.

关 键 词：甲状腺全切术 甲状腺次全切术 双侧结节性甲状腺肿 治疗效果 

分 类 号：R65[医药卫生—外科学]