甲状腺腺叶切除术治疗甲状腺结节的临床价值分析  

Clinical Value Analysis of Thyroid Lobectomy in the Treatment of Thyroid Nodules

作　　者：关建华 姚涵飞 朱心宁 林恩德[2] GUAN Jianhua;YAO Hanfei;ZHU Xinning;LIN Ende(Department of General Surgery,Xianyou Bo’ai Hospital,Putian,Fujian 351200,China;Department of General Surgery,Zhongshan Hospital Affiliated to Xiamen University,Xiamen,Fujian 361001,China)

机构地区：[1]仙游博爱医院普外科,福建莆田351200 [2]厦门大学附属中山医院普外科,福建厦门361001

出　　处：《中国医药指南》2025年第11期11-13,共3页Guide of China Medicine

基　　金：福建省卫健委卫生健康科研人才培养项目青年科研课题资助计划(2019-2-51)。

摘　　要：目的分析甲状腺结节患者开展甲状腺腺叶切除术的治疗效果。方法选取仙游博爱医院2022年6月至2024年6月收治的80例甲状腺结节患者,按治疗方法不同分为两组,各40例,对照组行甲状腺次全切术治疗,研究组行甲状腺腺叶切除术治疗。分析对照两组的手术指标、甲状腺功能、应激反应、心理应激及并发症发生情况。结果研究组的手术指标(手术耗费时长、术后引流管拔除时间、术中出血容量)与甲状腺功能指标(FT_(3)、FT_(4)、TSH)均优于对照组(P<0.05)。研究组白细胞计数、C反应蛋白及空腹血糖低于对照组(P<0.05)。在汉密尔顿焦虑量表(HAMA)评分与汉密尔顿抑郁量表(HAMD)评分上,研究组低于对照组(P<0.05)。研究组并发症发生率低于对照组(P<0.05)。结论在甲状腺结节临床治疗环节中辅助运用甲状腺腺叶切除术,可持续提升疗效,改善甲状腺功能。Objective To perform thyroid lobectomy on patients with thyroid nodules and analyze the therapeutic effect after treatment.Methods A total of 80 patients with thyroid nodules treated at Xianyou Boai Hospital from June 2022 to June 2024 were divided into two groups according to the treatment methods,with 40 cases in each group.The control group received subtotal thyroidectomy,while the study group received thyroid lobectomy.The study analyzed surgical indicators,thyroid function,stress response,psychological stress,and the incidence of complications in both groups.Results The surgical indexes(length of time spent in surgery,postoperative drain removal time,intraoperative bleeding volume)and thyroid function indexes(FT_(3),FT_(4),TSH)of the study group were better than those of the control group(P<0.05).In terms of white blood cell count,C-reactive protein,and fasting blood glucose,the study group was lower than the control group(P<0.05).In terms of HAMA and HAMD scores,the study group was lower than the control group(P<0.05).The incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusions The auxiliary use of thyroid lobectomy in the clinical treatment of thyroid nodules can sustainably improve efficacy and thyroid function,and can be further promoted and applied in clinical practice.

关 键 词：甲状腺结节 甲状腺腺叶切除术 甲状腺功能 应激反应 

分 类 号：R581[医药卫生—内分泌]