分化型甲状腺癌采用甲状腺全切除术治疗的有效性分析  

Effectiveness analysis of total thyroidectomy for differentiated thyroid cancer

作　　者：李红彬 LI Hong-bin(Department of Breast Surgery,Zibo Hospital of Peking University Medical Group,Zibo 255000,China)

机构地区：[1]北大医疗淄博医院普外科,255000

出　　处：《中国实用医药》2022年第25期85-87,共3页China Practical Medicine

摘　　要：目的 探讨采用甲状腺全切除术对分化型甲状腺癌患者进行治疗的临床效果。方法 68例分化型甲状腺癌患者,随机分为参照组和试验组,每组34例。参照组患者采用甲状腺患侧峡部切除术以及腺叶全切除术治疗,试验组患者采用甲状腺全切除术治疗。比较两组患者治疗效果、术后1年复发率、并发症发生率、住院时间以及术后首次下床时间。结果 试验组患者治疗总有效率为94.12%,高于参照组的64.71%,差异具有统计学意义(P<0.05)。试验组术后1年复发率为2.94%,低于参照组的17.65%,差异具有统计学意义(P<0.05)。试验组患者并发症发生率为2.94%,低于参照组的26.47%,差异具有统计学意义(P<0.05)。试验组患者住院时间(5.22±1.29)d短于参照组的(8.46±1.32)d,术后首次下床时间(1.49±0.29)d早于参照组的(3.89±0.25)d,差异具有统计学意义(P<0.05)。结论 采用甲状腺全切除术治疗分化型甲状腺癌患者效果显著,可缩短患者住院时间,降低并发症发生率、复发率,值得临床推广应用。Objective To discuss the clinical effect of total thyroidectomy in the treatment of patients with differentiated thyroid cancer. Methods A total of 68 patients with differentiated thyroid cancer were randomly divided into a reference group and an experimental group, with 34 cases in each group. Patients in the reference group were treated with thyroidectomy and total lobectomy on the affected side of the thyroid, while patients in the experimental group were treated with total thyroidectomy. The therapeutic effect, 1-year recurrence rate, incidence of complications, hospital stay, and first-time off-bed time after surgery were compared between the two groups. Results The total effective rate in the experimental group was 94.12%, which was higher than 64.71% in the reference group, and the difference was statistically significant(P<0.05). The 1-year recurrence rate in the experimental group was 2.94%, which was lower than 17.65% in the reference group, and the difference was statistically significant(P<0.05). The incidence of complications in the experimental group was 2.94%, which was lower than 26.47% in the reference group, and the difference was statistically significant(P<0.05). The hospital stay(5.22±1.29) d in the experimental group was shorter than(8.46±1.32) d in the reference group;the first-time off-bed time after surgery(1.49±0.29) d in the experimental group was earlier than(3.89±0.25) d in the reference group;the differences were all statistically significant(P<0.05). Conclusion Total thyroidectomy in the treatment of patients with differentiated thyroid cancer has a significant effect, and can shorten the hospital stay of patients, reduce the incidence of complications and recurrence rate, and is worthy of clinical promotion and application.

关 键 词：甲状腺全切除术 分化型甲状腺癌 有效性 

分 类 号：R736.1[医药卫生—肿瘤]