甲状腺全切除术在甲状腺癌外科治疗中的影响效果分析  

Analysis of the Effect of Total Thyroidectomy in the Surgical Treatment of Thyroid Cancer

作　　者：李英才 LI Yingcai(Department of General Surgery,Zibo Hospital of Shandong Guoxin Yiyang Group,Zibo,Shandong Province,255120 China)

机构地区：[1]山东国欣颐养集团淄博医院普外科,山东淄博255120

出　　处：《中外医疗》2021年第21期81-84,共4页China & Foreign Medical Treatment

摘　　要：目的评价甲状腺全切除术在甲状腺癌外科治疗中的影响效果。方法于2018年2月—2020年10月,从该院收治的甲状腺癌患者中方便抽选出88例展开系统调查,按照临床治疗方式的不同均匀分成两组,对照组采取甲状腺次全切除治疗,观察组接受甲状腺全切除术治疗,对比两组手术相关指标、生活质量、术后并发症及甲状腺激素、血钙水平。结果观察组手术时间(89.89±15.72)min、术中出血量(18.82±4.33)mL、切口长度(4.52±0.66)cm、住院时间(5.62±1.38)d、引流量(28.33±6.42)mL,观察组患者的各项手术指标与对照组相比,差异有统计学意义(t=4.222、9.170、16.164、12.760、6.217,P<0.05);观察组患者的术后并发症发生率(6.82%)明显比对照组(22.73%)低,差异有统计学意义(χ^(2)=4.423,P<0.05)。观察组患者术后的躯体、情感、认知、社会和运动功能等指标与对照组相比,差异有统计学意义(t=7.272、7.422、6.733、8.094、7.097,P<0.05);术前两组患者的甲状腺激素和血钙水平差异无统计学意义(P>0.05),治疗后观察组患者的甲状腺激素和血钙水平改善情况明显优于对照组,差异有统计学意义(P<0.05)。结论给予甲状腺癌外科治疗中,选择甲状腺全切术治疗的康复效果显著,能明显降低患者的甲状腺激素水平,值得临床借鉴应用。Objective To evaluate the effect of total thyroidectomy in the surgical treatment of thyroid cancer.Methods From February 2018 to October 2020,88 cases of thyroid cancer patients admitted to the hospital were convenient selected for systematic investigation,and they were divided into two groups according to different clinical treatment methods.The control group received subtotal thyroidectomy for treatment,the observation group received total thyroidectomy,and the two groups were compared with the operation-related indicators,quality of life,postoperative complications,thyroid hormone and blood calcium levels.Results The observation group the operation time(89.89±15.72)min,and the intraoperative blood loss(18.82±4.33)mL,incision length(4.52±0.66)cm,length of hospitalization(5.62±1.38)d,drainage(28.33±6.42)mL,compared with the control group,the differences are statistically significant(t=4.222,9.170,16.164,12.760,6.217,P<0.05);the postoperative complication rate(6.82%)of the observation group was significantly lower than that of the control group(22.73%),the differences are statistically significant(χ^(2)=4.423,P<0.05);Compared with the control group,the indicators of emotion,cognition,social and motor function the differences are statistically significant(t=7.272,7.422,6.733,8.094,7.097,P<0.05);the thyroid hormones and blood calcium of the two groups of patients before surgery had little difference in levels.After treatment,the improvement of thyroid hormone and blood calcium levels in the observation group was not significantly better than that in the control group(P>0.05).The difference between the groups was huge,the differences are statistically significant(P<0.05).Conclusion In the surgical treatment of thyroid cancer,the choice of total thyroidectomy has a significant rehabilitation effect and can significantly reduce the patient's thyroid hormone level,which is worthy of clinical application.

关 键 词：甲状腺全切除术 甲状腺癌 外科治疗 甲状旁腺激素 生活质量 并发症 

分 类 号：R736.1[医药卫生—肿瘤]