探讨甲状腺全切除术在甲状腺癌外科治疗中的应用价值  

Exploring the Value of Total Thyroidectomy in the Surgical Treatment of Thyroid Cancer

作　　者：詹舜尧 文国军 ZHAN Shunyao;WEN Guojun(Health Management Center,Hunan Provincial Rehabilitation Hospital,Changsha,Hunan Province,410007 China)

机构地区：[1]湖南省康复医院健康管理中心,湖南长沙410007

出　　处：《中外医疗》2024年第14期71-74,共4页China & Foreign Medical Treatment

摘　　要：目的 分析甲状腺全切除术在甲状腺癌外科治疗中的应用价值。方法 前瞻性随机选取2022年7月—2023年7月湖南省康复医院收治的120例甲状腺癌患者作为研究对象,按照外科治疗方案不同,分为对照组(甲状腺次全切除术)和观察组(甲状腺全切除术),各60例。比较两组的应用效果。结果 观察组治疗总有效率(96.67%)高于对照组(83.33%),复发率(0)低于对照组(8.00%),差异有统计学意义(χ^(2)=5.926、4.138,P均<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。观察组手术用时、住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P均<0.05)。术后1周,两组甲状腺功能较术前明显改善,但两组对比,差异无统计学意义(P>0.05)。结论 外科手术是治疗甲状腺癌的主要手段,甲状腺次全切除术、全切除术均可改善甲状腺功能,但全切除术手术指标更好,并发症更少,复发率更低。Objective To analyze the application value of total thyroidectomy in the surgical treatment of thyroid can-cer.Methods 120 thyroid cancer patients admitted to Hunan Provincial Rehabilitation Hospital from July 2022 to July 2023 were prospective randomly selected as study subjects.According to the different surgical treatment programs,they were divided into the control group(subtotal thyroidectomy)and the observation group(total thyroidectomy),60 cases each.The application effects of two groups were compared.Results The total effective rate of treatment of the ob-servation group(96.67%)was higher than that of the control group(83.33%),and the recurrence rate(0)was lower than that of the control group(8.00%),and the differences were statistically significant(χ^(2)=5.926,4.138,both P<0.05).The total complication rate of the observation group was lower than that of the control group,and the difference was statisti-cally significant(P<0.05).The operation time and hospitalization time of the observation group were shorter than that of the control group,and intraoperative bleeding was less than that of the control group,and the differences were statisti-cally significant(all P<0.05).Thyroid function improved significantly in both groups 1 week after surgery compared with the preoperative period,but there was no statistically significant difference in the comparison of the two groups(P>0.05).Conclusion Surgery is the main means of treatment for thyroid cancer,subtotal thyroidectomy and total thyroidec-tomy can improve thyroid function,but total resection has better surgical indexes,fewer complications,and lower recur-rence rate.

关 键 词：甲状腺全切除术 甲状腺癌 并发症 复发率 甲状腺功能 总有效率 

分 类 号：R736.1[医药卫生—肿瘤]