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目的对比甲状腺腺瘤术后采取内分泌康复治疗与不采取内分泌康复治疗的康复效果。方法选取2015年1月—2017年1月到该院进行治疗的甲状腺腺瘤术后患者90例,将患者随机分为观察组(n=45)和对照组(n=45),进行对照研究。所有患者均已经过手术治疗,观察组术后进行内分泌康复治疗,服用甲状腺素片,对照组术后不进行内分泌康复治疗。对甲状腺腺瘤术后患者康复情况进行随访,对比两组患者的康复效果。结果对照组术后甲状腺残留肿大43例,术后3～6个月,患者T_3、T_4开始下降,TSH逐渐上升;术后12个月后,残留肿大93.33%,残留肿块66.67%;术后24个月后,残留结节46.67%;观察组患者经过内分泌治疗康复效果较好。结论甲状腺腺瘤术后应采取内分泌康复治疗,防止甲状腺残留,病情反复。
Objective To compare the effect of endocrine rehabilitation after thyroid adenoma surgery and the result of rehabilitation without endocrine rehabilitation. Methods Ninety patients with thyroid adenoma treated in our hospital from January 2015 to January 2017 were randomly divided into observation group (n = 45) and control group (n = 45) . All patients had been surgically treated. The observation group was treated with endocrine therapy, thyroxine tablets, and the control group without endocrine rehabilitation. Follow-up of patients with thyroid adenoma after surgery to compare the rehabilitation effect of two groups of patients. Results Thirty-three patients had thyroid gland enlargement in the control group. T 3 and T 4 began to decrease and TSH gradually increased in 3 to 6 months after operation. After 12 months, 93.33% of residual tumor and 66.67% of residual tumor After 24 months, residual nodules 46.67%; observation group patients after endocrine therapy rehabilitation effect is better. Conclusions Endocrine rehabilitation should be taken after thyroid adenoma surgery to prevent thyroid residue and repeated illness.