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作 者:张波涛 张卫星 贺志强 ZHANG Botao;ZHANG Weixing;HE Zhiqiang(General Surgery Department,Central Hospital of Jiaozuo Coal Industry(Group)Co.,LTD.,Jiaozuo 454000,China)
机构地区:[1]焦作煤业(集团)有限责任公司中央医院普外科,河南焦作454000
出 处:《临床医学研究与实践》2021年第22期82-84,共3页Clinical Research and Practice
摘 要:目的分析甲状腺腺叶切除术对甲状腺结节患者临床指标与术后并发症的影响。方法以2018年3月至2020年3月收治的86例甲状腺结节患者为研究对象,根据手术方法将其分为对照组(43例,甲状腺部分切除术)与研究组(43例,甲状腺腺叶切除术)。比较两组患者的手术指标、临床疗效、甲状腺功能指标、应激反应指标、术后并发症发生情况。结果研究组的手术时间与住院时间明显短于对照组,术中出血量、术后引流量明显少于对照组(P<0.05)。研究组的治疗总有效率为95.35%,明显高于对照组的79.07%(P<0.05)。手术后6个月,研究组TSH水平明显高于对照组,FT_(3)、FT_(4)水平明显低于对照组(P<0.05)。手术后48 h,两组的空腹血糖、WBC、CRP水平均升高,但研究组明显低于对照组(P<0.05)。研究组术后并发症总发生率为9.30%,明显低于对照组的27.91%(P<0.05)。结论甲状腺腺叶切除术用于甲状腺结节治疗的效果理想,能够优化手术指标,减少术后并发症,值得临床进一步推广运用。Objective To analyze the influences of thyroid lobectomy on clinical indexes and postoperative complications of patients with thyroid nodules.Methods A total of 86 patients with thyroid nodules admitted from March 2018 to March 2020 were selected as the study objects and divided into control group(43 cases,partial thyroidectomy)and study group(43 cases,thyroid lobectomy)according to surgical methods.The surgical indexes,clinical efficacy,thyroid function indexes,stress response indexes and postoperative complications were compared between the two groups.Results The duration of operation and hospital stay in the study group were significantly shorter than those in the control group,and the amount of intraoperative blood loss and the amount of postoperative drainage were significantly less than those in the control group(P<0.05).The total effective rate of treatment of the study group was 95.35%,which was significantly higher than 79.07%of the control group(P<0.05).At 6 months after operation,the TSH level in the study group was significantly higher than that in the control group,and the levels of FT_(3) and FT_(4) were significantly lower than those in the control group(P<0.05).At 48 h after operation,fasting blood glucose,WBC,CRP levels of the two groups increased,but those in the study group were significantly lower than the control group(P<0.05).The total incidence of postoperative complications in the study group was 9.30%,which was significantly lower than 27.91%in the control group(P<0.05).Conclusion The thyroid lobectomy in the treatment of thyroid nodules has ideal effect,it can optimize the operation indexes and reduce the postoperative complications,which is worthy of further clinical promotion and application.
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