甲状腺全切除或近全切除术治疗甲状腺癌的手术效果观察  

Effect of total or near total thyroidectomy in the treatment of thyroid cancer

作　　者：张立光[1] Zhang Liguang(The First Department of Surgery,Peixian Traditional Chinese Medicine Hospital of Jiangsu Province,Jiangsu Peixian 221600)

机构地区：[1]江苏省沛县中医院外一科,江苏沛县221600

出　　处：《中国社区医师》2021年第34期65-66,共2页Chinese Community Doctors

摘　　要：目的:分析甲状腺癌患者采用甲状腺全切除术或近全切除术治疗的效果。方法:2013年1月-2020年12月收治甲状腺癌患者36例,随机分为两组,各18例。试验组采用甲状腺近全切除术治疗;对照组采用甲状腺全切除术治疗。比较两组治疗效果。结果:试验组手术时间、术中出血量、住院时间及并发症发生率均明显低于对照组,差异有统计学意义(P<0.05);试验组治疗总有效率明显高于对照组,差异有统计学意义(P<0.05);试验组治疗后甲状旁腺素及血清钙离子水平均高于对照组,差异有统计学意义(P<0.05)。结论:在甲状腺癌患者中采取甲状腺近全切除术治疗,其治疗效果明显优于甲状腺全切除术,手术时间和术中出血量更少。Objective:To analyze the effect of total or near total thyroidectomy in the treatment of patients with thyroid cancer.Methods:From January 2013 to December 2020,36 patients with thyroid cancer were selected and randomly divided into two groups with 18 cases in each group.The experimental group received total or near total thyroidectomy.The control group received total thyroidectomy.The therapeutic effects between the two groups were compared.Results:The operative time,intraoperative blood loss volume,length of hospital stay and incidence of complications in the experimental group were significantly lower than the control group,the differences were statistically significant(P<0.05).The total effective rate of the experimental group was significantly higher than the control group,the difference was statistically significant(P<0.05).After treatment,parathyroid hormone and serum calcium ion water in the experimental group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:The effect of total or near total thyroidectomy is better than total thyroidectomy in patients with thyroid cancer,and the operative time and intraoperative blood loss volume are less.

关 键 词：甲状腺全切除术 甲状腺近全切除术 甲状腺癌 

分 类 号：R736.1[医药卫生—肿瘤]