摘要
目的探讨不同术式的甲状腺次全切除术在临床的治疗效果。方法我院从2012年1月起至2014年12月收治的150例甲状腺疾病中,根据随机分组原则分为两组,每组75人,依据不同手术方式分为传统组与改良组,分别进行传统甲状腺次全切除术(切除甲状腺上极)与改良甲状腺次全切除术(保留甲状腺上极),并给予两组患者同等的基础辅助治疗,对比两组不同术式的手术时间、术后并发症以及住院时间得出结论。结果传统组平均用时(84.20±7.11)分钟,改良组平均用时(70.51±6.93)分钟,两组比较,P<0.01,两组差别显著,改良组平均用时要少于传统组。传统组75例手术中术后出现感染3人,低钙导致的抽搐13人,喉头水肿18人,声音嘶哑5人,改良组75例手术中术后出现感染0人,低钙导致的抽搐2人,喉头水肿9人,声音嘶哑2人,改良组各项并发症发生例数都比传统组优越,且P<0.05,具有比较意义。传统组平均住院时间为(6.71±0.61)天,改良组为(5.12±0.55)天,两组比较P<0.05,传统组住院时间更短。结论改良甲状腺次全切除术比传统甲状腺次全切除术更加安全可靠,并发症发生率更低,使得住院时间缩短。
Objective To investigate clinical treatment effects of different operative methods of subtotal thyroidectomy. Methods 150 cases of patients with thyroid disease, treated in our hospital from January 2012 to December 2014, were collected as objects. According to the principle of randomized and different operation ways, they were divided into two groups, the traditional and the improved group with 75 cases for each group. Patients of two group were respectively taken traditional subtotal thyroidectomy （ resection of the upper pole of thyroid） and improved subtotal thyroidectomy （keep the upper pole of thyroid）, and both groups were given same auxiliary treatment. Researchers made a comparison between two groups on operation time of different operative methods, postoperative complications and length of hospital stay and then to made a conclusion. Results Average operation time of traditional group was （ 84.20 ± 7.11 ） minutes, and that of improved group was （70.51± 6.93 ） minutes. When comparing between two groups, it was found that improved group had shorter average time than traditional group had. The result of difference was significant （P 〈0. 01 ）. Among 75 cases of patients of traditional group, there were 3 cases with surgical infection, 13 cases with convulsion due to low calcium, 18 cases with laryngeal edema,5 cases with hoarse during or after surgery. And among 75 cases of improved group, cases of above situations were respectively 0 cases, 2 cases, 9 cases, and 2 cases. Cases of various complications of improved group were fewer than that of traditional group （P 〈 0. 05）, and the result had significance. Average length of hospital stay of traditional group was （6.71 ± 0.61 ） day, and improved group was （5.12 ± 0.55 ） days. Patients of traditional group had shorter length of hospital stay. The result of comparison between two groups on it showed the value of p was less than 0.05 （P 〈 0. 05）. Conclusions The improved subtotal thyroidectomy is more safe and relia
出处
《齐齐哈尔医学院学报》
2016年第4期463-465,共3页
Journal of Qiqihar Medical University
