患侧全切术与对侧行甲状腺大部切除术对复发性甲状腺结节良性肿瘤对患者甲状腺功能的影响  

Effect of total resection of the affected side and subtotal thyroidectomy on the contralateral side on the thyroid function of patients with recurrent thyroid nodule benign tumors

作　　者：韩明相 胡俊峰 Han Mingxiang;Hu Junfeng(Dengzhou Luozhuang Town Health Center,Dengzhou 474184;Dengzhou People’s Hospital,Dengzhou 474150)

机构地区：[1]河南省邓州市罗庄镇卫生院,邓州474184 [2]河南省邓州市人民医院,邓州474150

出　　处：《数理医药学杂志》2022年第10期1446-1448,共3页Journal of Mathematical Medicine

摘　　要：目的:探究临床应用甲状腺切除术治疗复发性甲状腺结节良性肿瘤中不同部位切除术的应用安全性与效果。方法:选择2019年、2020年两年收治的60例复发性甲状腺结节良性肿瘤患者,以随机数字表法分为参照组和治疗组(各30例)。前者行患侧全切术,后者行患侧全切术以及对侧行甲状腺大部切除术。比较两组甲状腺功能指标、并发症以及复发情况、生活质量。结果:术后一周,两组甲状腺功能指标均发生明显变化(P<0.05),治疗组甲状腺激素、甲状腺素以及三碘甲腺原氨酸三指标与参照组比较(P<0.05),但术后一个月各指标水平无明显差异(P>0.05)。治疗组总并发症发生率3.03%、复发率0.00%低于参照组(P<0.05)。两组各项生活质量各项评分差异明显P<0.05。结论:复发性甲状腺结节良性肿瘤患者采取不同手术切除方案均可改善甲状腺功能,但患侧全切术后对侧实施甲状腺大部分切除术应用更为安全可靠。Objective:To explore the safety and effect of different parts of thyroidectomy in the treatment of recurrent benign thyroid nodules.Methods:60 patients with benign tumors of recurrent thyroid nodules treated in 2019 and 2020 were randomly divided into reference group and treatment group(30 cases in each group).The former underwent total resection of the affected side,the latter underwent total resection of the affected side and subtotal thyroidectomy on the opposite side.The indexes of thyroid function,complications,recurrence and quality of life were compared between the two groups.Results:one week after operation,the thyroid function indexes of the two groups were significantly changed(P<0.05).The three indexes of thyroid hormone,thyroxine and triiodothyronine in the treatment group were compared with those in the reference group(P<0.05),but there was no significant difference in the levels of all indexes one month after operation(P>0.05).The total complication rate(3.03%)and recurrence rate(0.00%)in the treatment group were lower than those in the reference group(P<0.05).The scores of quality of life in the two groups were significantly different(P<0.05).Conclusion:different surgical resection schemes can improve thyroid function in patients with recurrent thyroid nodules and benign tumors,but the application of contralateral subtotal thyroidectomy after total thyroidectomy is more safe and reliable.

关 键 词：复发性 甲状腺结节良性肿瘤 患侧全切术 甲状腺大部切除术 甲状腺功能 并发症发生率 复发率 

分 类 号：R615[医药卫生—外科学]