摘要
目的比较甲状腺全切除术和次全切除术治疗分化型甲状腺癌的疗效。方法回顾性分析我院2010年1月~2012年6月间120例分化型甲状腺癌患者行甲状腺全切和次全切治疗的临床资料,其中甲状腺全切术组55例,甲状腺次全切术组65例,比较两组术后并发症发生情况以及3年内肿瘤复发情况。结果术后并发症发生情况显示：两组患者差异无显著统计学意义（P〉0.05）;术后3年内肿瘤复发情况显示：全切组患者术后复发率明显低于次全切除组（P〈0.05）。结论应用甲状腺全切除术治疗分化型甲状腺癌,与次全切除术相比效果更为显著,可更加彻底地清除病灶,降低肿瘤的复发。
Objective To investigate clinical significance of total thyroidectomy in differentiated thyroid carcinoma. Method clinical data of patients from January 2010 to June 2012 who underwent total thyroidectomy and sub-total thyroidectomy surgery for differentiated thyroid carcinoma were retrospectively analyzed. There were 55 cases in total thyroidectomy group and 65 cases in sub-total thyroidectomy group. The postoperative complications and tumor recurrence were compared. Results there were no significantly difference in postoperative complications between both groups（P 〉0.05）. postoperative tumor recurrence within 3 years showed a significantly lower in the total thyroidectomy group than that of the sub-total thyroidectomy group（P〈0.05）. Conclusion the effect of total thyroidectomy for differentiated thyroid carcinoma is remarkable. It does not increase the incidence of hypoparathyroidism and recurrent laryngeal nerve injury. It could more thoroughly remove the lesions, avoid residual tissue leading to tumor recurrence and reoperation, and then it could greatly reduce the recurrence rate of the tumor.
出处
《首都食品与医药》
2016年第6期21-22,共2页
Capital Food Medicine
关键词
甲状腺全切除术
分化型甲状腺癌
total thyroidectomy
differentiated thyroid carcinoma
