摘要
目的探讨甲状腺全切除术治疗结节性甲状腺肿的临床疗效。方法选取2011年1月至2013年12月我院收治的78例结节性甲状腺肿患者作为研究对象,采用随机数字表法将所选患者分为研究组和对照组,各39例,研究组采用甲状腺全切除术治疗,对照组采用甲状腺次全切除术治疗,随访1年,综合比较两组患者手术时间、术中出血量、并发症发生率及复发情况。结果两组患者手术时间、术中出血量比较差异无统计学意义(P>0.05);研究组并发症发生率为10.3%,低于对照组的15.4%,但比较差异无统计学意义(P>0.05);随访1年,研究组复发率为5.1%,显著低于对照组的33.3%(P<0.05)。结论甲状腺全切除术治疗结节性甲状腺肿效果确切,术后并发症少且复发率低,值得临床推广使用。
Objective To investigate the effect of total thyroidectomy for the treatment of nodular goiter.Methods 78 cases of nodular goiter in our hospital were randomly divided into research group and control group,each were 39 cases. Research group were treated with total thyroidectomy. Control group were treated with subtotal thyroidectomy. All patients were followed up for 1 year. The operative time,blood loss,complication rate and recurrence rate were compared. Results The operative time and blood loss of two groups had no statistically difference（ P〉0. 05）. The complication rate of research group was 10. 3%,lower than 15. 4% of control group,but there was no statistically difference between two groups（ P〉0. 05）. The recurrence rate of research group was 5. 1%,which was lower than 33. 3% of control group（ P〈0. 05）. Conclusions Total thyroidectomy for the treatment of nodular goiter has exact effect with fewer complications and recurrence rate. It＇s worth widely clinical use.
出处
《齐齐哈尔医学院学报》
2015年第20期3009-3010,共2页
Journal of Qiqihar Medical University
