甲状腺全切术与次全切术治疗甲状腺多发结节的临床疗效对比分析  

Comparative Analysis on Clinical Efficacy of Total Thyroidectomy and Subtotal Thyroidectomy in the Treatment of MultipleThyroid Nodules

作　　者：陈海波[1] 李与勇[1] 梁郁然 CHEN Haibo;LI Yuyong;LIANG Yuran(The Second Department of General Surgery,Huazhou People's Hospital,Huazhou 525100,China)

机构地区：[1]化州市人民医院普通外科二科,广东化州525100

出　　处：《临床医学工程》2021年第4期473-474,共2页Clinical Medicine & Engineering

摘　　要：目的探讨甲状腺全切术与次全切术治疗甲状腺多发结节的临床疗效。方法选取我院2018年5月至2019年9月收治的甲状腺多发结节患者68例,随机分为两组各34例。对照组采用甲状腺全切术治疗,观察组采用甲状腺次全切术治疗,比较两组的手术指标、临床疗效及并发症。结果观察组的手术时间、术中出血量、住院时间均显著少于对照组(P <0.05)。观察组的治疗总有效率为94.12%,显著高于对照组的70.59%(P <0.05)。观察组的并发症发生率为2.94%,显著低于对照组的17.65%(P <0.05)。结论甲状腺次全切术治疗甲状腺多发结节的临床疗效显著,并发症少。Objective To explore the clinical efficacy of total thyroidectomy and subtotal thyroidectomy in the treatment of multiple thyroid nodules.Methods 68 patients with multiple thyroid nodules admitted to our hospital from May 2018 to September 2019 were selected and randomly divided into two groups,with 34 cases in each group.The control group was treated with total thyroidectomy,and the observation group was treated with subtotal thyroidectomy.The surgical indicators,clinical efficacy and complications were compared between two groups.Results The operation time,intraoperative blood loss amount and hospitalization time of observation group were significantly less than those of control group(P<0.05).The total effective rate of treatment of observation group was 94.12%,significantly higher than 70.59%of control group(P<0.05).The incidence of complications of observation group was 2.94%,significantly lower than 17.65%of control group(P<0.05).Conclusions Subtotal thyroidectomy in the treatment of multiple thyroid nodules has significant clinical efficacy and few complications.

关 键 词：甲状腺全切术 甲状腺次全切术 甲状腺多发结节 疗效 

分 类 号：R581[医药卫生—内分泌]