甲状腺全切除术治疗甲状腺癌患者的临床疗效  

Clinical effect of total thyroidectomy in the treatment of patients with thyroid cancer

作　　者：陈智翔 朱光建 CHEN Zhi-xiang;ZHU Guang-jian(Department of General Surgery,Shaoguan First People’s Hospital,Shaoguan 512000,China)

机构地区：[1]韶关市第一人民医院普通外科,512000

出　　处：《中国实用医药》2020年第28期42-44,共3页China Practical Medicine

摘　　要：目的对甲状腺癌患者临床中采用甲状腺全切除术治疗的效果进行观察。方法100例甲状腺癌患者,采用奇偶数方式分成实验组及常规组,每组50例。实验组采用甲状腺全切除术治疗,常规组采用甲状腺近全切除术治疗。对比两组患者的治疗效果及并发症发生情况。结果实验组患者的治疗总有效率为92.00%,高于常规组的76.00%,差异具有统计学意义(P<0.05)。实验组发生伤口感染1例,喉返神经损伤1例,手足麻木0例,并发症发生率为4.00%;常规组发生伤口感染4例,喉返神经损伤4例,手足麻木2例,并发症发生率为20.00%。实验组患者的并发症发生率低于常规组,差异具有统计学意义(P<0.05)。结论甲状腺全切除术治疗甲状腺癌的效果显著,不仅可以有效提高患者的临床治疗效果,同时对患者的预后情况改善较好,能够更快的促进患者的身体恢复。Objective To observe the effect of total thyroidectomy in the treatment of patients with thyroid cancer.Methods A total of 100 patients with thyroid cancer were divided into experimental group and conventional group according to even-odd number method,with 50 cases in each group.The experimental group was treated with total thyroidectomy,and the conventional group was treated with near total thyroidectomy.The therapeutic effect and occurrence of complications were compared between the two groups.Results The total effective rate of treatment of the experimental group was 92.00%,which was higher than 76.00%of the conventional group,and the difference was statistically significant(P<0.05).In the experimental group,there were 1 case of wound infection,1 case of recurrent laryngeal nerve injury,0 case of hand and foot numbness,and the complication rate was 4.00%;in the conventional group,there were 4 cases of wound infection,4 cases of recurrent laryngeal nerve injury,2 cases of hand and foot numbness,and the complications rate was 20.00%.The complication rate of the experimental group was lower than that of the conventional group,and the difference was statistically significant(P<0.05).Conclusion Total thyroidectomy has a significant effect in the treatment of thyroid cancer.It can not only effectively improve the clinical effect of patients,but also improve the patient’s prognosis better and promote the patient’s body recovery faster.

关 键 词：甲状腺癌 甲状腺全切除术 甲状腺近全切除术 治疗效果 并发症 预后情况 

分 类 号：R736.1[医药卫生—肿瘤]