甲状腺全切术和次全切术治疗甲状腺多发结节临床疗效和预后研究  

Study the clinical efficacy and prognosis of total thyroidectomy and subtotal thyroidectomy in the treatment of multiple thyroid nodules

作　　者：靖帅 JING Shuai(Anshan Hospital,First Affiliated Hospital of China Medical University,Anshan 114012,China)

机构地区：[1]中国医科大学附属第一医院鞍山医院,114012

出　　处：《中国实用医药》2022年第20期83-85,共3页China Practical Medicine

摘　　要：目的针对甲状腺全切术和次全切术治疗甲状腺多发结节的临床疗效和预后进行研究。方法100例甲状腺多发结节患者,随机分为常规组和实验组,每组50例。常规组采用甲状腺全切术治疗,实验组采用甲状腺次全切术治疗。比较两组术后并发症发生情况以及复发情况、临床相关指标、治疗效果。结果实验组并发症发生率12.00%与常规组的18.00%比较,差异无统计学意义(P>0.05)。常规组复发率0低于实验组的10.00%,差异具有统计学意义(P<0.05)。实验组的手术时间(109.44±15.23)min、住院时间(8.57±0.88)d均短于常规组的(138.68±24.42)min、(10.45±1.08)d,术中出血量(78.78±19.35)ml少于常规组的(109.65±23.61)ml,差异有统计学意义(P<0.05)。两组的治疗总有效率比较,差异无统计学意义(P>0.05)。结论运用甲状腺全切术和次全切术对甲状腺多发结节疾病进行治疗均有良好疗效,甲状腺次全切术术中出血量更少一些,由此促使患者恢复的更快一些,安全性更高,甲状腺全切术的患者术后无复发情况,因此临床应根据患者实际情况选择合适术式。Objective To study the clinical efficacy and prognosis of total thyroidectomy and subtotal thyroidectomy in the treatment of multiple thyroid nodules.Methods A total of 100 patients with multiple thyroid nodules were randomly divided into conventional group and experimental group,with 50 cases in each group.The conventional group was treated with total thyroidectomy,while the experimental group was mainly treated with subtotal thyroidectomy.The incidence of postoperative complications,recurrence,clinical indicators,and therapeutic effects were compared between the two groups.Results The incidence of complications in the experimental group was 12.00%,and the difference was not statistically significant compared with 18.00%in the conventional group(P>0.05).The recurrence rate 0 of the conventional group was lower than 10.00%of the experimental group,and the difference was statistically significant(P<0.05).The operation time(109.44±15.23)min and hospital stay(8.57±0.88)d of the experimental group were shorter than(138.68±24.42)min and(10.45±1.08)d of the conventional group;the intraoperative blood loss(78.78±19.35)ml of the experimental group was less than(109.65±23.61)ml of the conventional group;all the differences were statistically significant(P<0.05).There was no statistically significant difference in the total effective rate of treatment between the two groups(P>0.05).Conclusion Both total thyroidectomy and subtotal thyroidectomy have good efficacy on multiple thyroid nodules.Subtotal thyroidectomy has less blood loss,quicker recovery and higher safety;patients with total thyroidectomy almost have no recurrence after surgery,so the clinic should choose the appropriate procedure according to the actual situation of the patient.

关 键 词：甲状腺全切术 甲状腺次全切术 甲状腺多发结节 并发症 复发率 

分 类 号：R653[医药卫生—外科学]