甲状腺大部切除术治疗甲状腺癌对复发率及喉返神经损伤情况观察  

Observation of Recurrence Rate And Recurrent Laryngeal Nerve Injury of Thyroid Cancer After Subtotal Thyroidectomy

作　　者：吴俊峰 WU Jun-feng(Department of Pathology,Xijing Hospital,The First Affiliated Hospital of Air Force Military Medical University,Xi'an,Shaanxi,710000)

机构地区：[1]空军军医大学第一附属医院西京医院病理科,陕西西安710000

出　　处：《智慧健康》2020年第36期78-79,共2页Smart Healthcare

摘　　要：目的探讨甲状腺大部分切除术治疗甲状腺癌对复发率及喉返神经损伤情况。方法选取我院2018年3月至2020年3月收治的甲状腺癌患者100例,按照硬币正反平均分配原则,其中50例患者接受甲状腺全切除术治疗方法,视为对照组;另外50例患者接受甲状腺大部分切术治疗方法,视为观察组。比较观察两组患者的治疗效果、复发率以及并发症发生率变化。结果观察组手术时间、术中出血量、镇痛时长以及住院时间同对照组相比均较优,并发症发生率远小于对照组,观察组的复发率远大于对照组,组间对比存在统计学差异(P<0.05)。结论应用甲状腺大部分切除术治疗甲状腺癌,治疗效果较为突出,且并发症较少,可根据不同病变范围选择适当的手术方式。Objective To investigate recurrence rate and laryngeal nerve injury after subtotal thyroidectomy for thyroid cancer.Methods We chose 100 cases of thyroid cancer patients in our hospital from March 2018 to March 2020.According to principle of positive and negative equal distribution of coins,50 cases were treated with total thyroidectomy,which was regarded as control group;the other 50 cases with subtotal thyroidectomy,regarded as observation group.Compare and observe treatment effect,recurrence rate and complication rate of two groups.Results Operation time,intraoperative blood loss,analgesia time and length of stay of observation group was better than control group,and incidence rate was much less than control group.However,recurrence rate of observation group was much higher than control group,and comparison showed statistical advantages between two groups (P<0.05).Conclusion Subtotal thyroidectomy can achieve more prominent treatment effect in treatment of thyroid cancer,with less incidence,which can be selected according to different range of lesions.

关 键 词：甲状腺癌 甲状腺切除术 复发率 并发症 

分 类 号：R726.1[医药卫生—儿科]