分化型甲状腺癌首次手术规范与否对再次手术的影响  

Influence of whether or not the first operation of differentiated thyroid cancer is performed on the second operation

作　　者：管云柱[1] GUAN Yun-zhu(Department of Oncology Surgery,Ningde Hospital of Fujian Province,Ningde 352100,China)

机构地区：[1]福建省宁德市医院肿瘤外科,福建宁德352100

出　　处：《中国当代医药》2021年第4期102-104,111,共4页China Modern Medicine

摘　　要：目的探讨分化型甲状腺癌首次手术规范与否对再次手术的影响。方法回顾性分析2019年1月~2020年1月福建省宁德市医院收治的200例分化型甲状腺癌患者的临床资料。患者均接收再次手术治疗。按照首次手术规范性分为两组,对照组(n=100)为不规范手术组,观察组(n=100)为规范性手术组。就患者疾病复发情况、手术时间、引流时间、侵犯周围组织及并发症发病率进行统计分析。结果观察组的复发率低于对照组,差异有统计学意义(P<0.05)。观察组的手术时间、引流时间短于对照组,差异有统计学意义(P<0.05)。两组的侵犯周围组织情况比较,差异无统计学意义(P>0.05)。观察组的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论分化型甲状腺癌首次手术不规范,会增加患者疾病复发率,增加患者再手术风险,为了提升手术治疗效果,需规范首次手术方式,确保手术治疗质量。Objective To explore the influence of whether or not the first operation is standard for differentiated thyroid cancer on the second operation.Methods A retrospective analysis of the clinical data of 200 patients with differentiated thyroid cancer admitted to Ningde Hospital of Fujian Province from January 2019 to January 2020 was made.All patients received reoperation.According to the standard of the first operation,they were divided into two groups.The control group(n=100)was the non-standard operation group,and the observation group(n=100)was the standard operation group.Statistical analysis was performed on the patient's disease recurrence,operation time,drainage time,invasion of surrounding tissues and incidence of complications.Results The recurrence rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The operation time and drainage time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the violation of surrounding tissues between the two groups(P>0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P>0.05).Conclusion If the first operation for differentiated thyroid cancer is not standardized,it will increase the patient's disease recurrence rate and increase the patient's risk of reoperation.In order to improve the surgical treatment effect,it is necessary to standardize the first operation method and ensure the quality of surgical treatment.

关 键 词：分化型甲状腺癌 首次手术规范 再次手术 

分 类 号：R736.1[医药卫生—肿瘤]