两种手术方式治疗甲状腺结节的效果对比  

Comparison on the Effects of Two Surgical Methods in the Treatment of Thyroid Nodules

作　　者：张元魁 张凌锋 ZHANG Yuankui;ZHANG Lingfeng(Department of General Surgery,Luohe Hospital of Traditional Chinese Medicine,Luohe 462000,China)

机构地区：[1]漯河市中医院普外科,河南漯河462000

出　　处：《临床医学工程》2024年第10期1253-1254,共2页Clinical Medicine & Engineering

摘　　要：目的对比甲状腺腺叶切除术、甲状腺次全切术治疗甲状腺结节的临床效果。方法94例甲状腺结节患者根据手术方式的不同分为两组各47例,参照组予以甲状腺次全切术治疗,研究组予以甲状腺腺叶切除术治疗,比较两组的手术相关指标、甲状腺激素水平以及并发症。结果研究组的手术时间及住院时间均短于参照组,术中出血量少于参照组,并发症总发生率低于参照组(P<0.05)。术后3 d,两组的血清FT_(3)、FT_(4)水平均低于术前,但研究组的血清FT_(3)、FT_(4)水平均高于参照组(P<0.05)。结论与甲状腺次全切术相比,甲状腺腺叶切除术治疗甲状腺结节的创伤较小,对患者甲状腺功能的影响较少。Objective To compare the clinical effects of thyroid lobectomy and subtotal thyroidectomy in the treatment of thyroid nodules.Methods A total of 94 patients with thyroid nodules were divided into two groups according to different surgical methods,with 47 cases in each group.The reference group was treated with subtotal thyroidectomy,and the study group was treated with thyroid lobectomy.The surgery-related indicators,thyroid hormone levels and complications were compared between the two groups.Results The operation time and hospitalization time of the study group were shorter than those of the reference group,the intraoperative blood loss amount was less than that of the reference group,and the total incidence of complications was lower than that of the reference group(P<0.05).At 3 days after surgery,the levels of serum FT_(3) and FT_(4) in the two groups were lower than those before surgery,but the levels of serum FT_(3) and FT_(4) of the study group were higher than those of the reference group(P<0.05).Conclusions Compared with subtotal thyroidectomy,thyroid lobectomy in the treatment of thyroid nodules has smaller trauma and less impact on thyroid function of patients.

关 键 词：甲状腺腺叶切除术 甲状腺次全切术 甲状腺结节 甲状腺功能 并发症 

分 类 号：R581[医药卫生—内分泌]