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目的:比较甲状腺全切除术与半切除术治疗甲状腺癌的临床效果。方法:选取我院收治的90例甲状腺癌患者,对所有患者行甲状腺全切除术或近全切除术,同时应用I131以及甲状腺激素抑制治疗作为辅助治疗,并对所有患者进行随访。结果:两组患者的术中出血量、喉返神经显露率比较差异无统计学意义(P>0.05),观察组的手术切口以及手术时间均明显长于对照组(P<0.01),甲状旁腺显露率高于对照组(P<0.01)。两组患者暂时性、永久性喉返神经损伤,暂时性、永久性甲状旁腺功能低下发生率比较差异无统计学意义(P>0.05)。复发率为13.33%(6/45),观察组无复发,两组患者术后复发率比较差异具有统计学意义(P<0.05)。结论:甲状腺全切除术治疗甲状腺癌的效果优于半切除术,且能够有效降低术后复发率。
Objective: To compare the clinical effects of total thyroidectomy and hemi-resection in the treatment of thyroid cancer. Methods: Ninety patients with thyroid cancer admitted to our hospital were enrolled in this study. Total thyroidectomy or subtotal thyroidectomy was performed on all patients. I131 and thyroid hormone suppression were used as adjunctive therapy. All patients were followed up. Results: There was no significant difference between the two groups in the amount of blood loss and the rate of recurrent laryngeal nerve (P> 0.05). The surgical incision and operation time in the observation group were significantly longer than those in the control group (P <0.01) The exposure rate was higher than that of the control group (P <0.01). There was no significant difference in the incidence of transient or permanent laryngeal nerve injury between the two groups (P> 0.05). The recurrence rate was 13.33% (6/45). There was no recurrence in the observation group. There was significant difference in the recurrence rate between the two groups (P <0.05). Conclusions: Total thyroidectomy is superior to hemi-resection in the treatment of thyroid cancer, and can effectively reduce the recurrence rate.