摘要
目的探讨甲状腺癌根治术联合甲状旁腺自体移植术治疗甲状腺癌的临床效果。方法选取2014年5月-2016年5月收治的甲状腺癌患者80例,随机将这些患者分为甲状腺癌根治术联合甲状旁腺自体移植术治疗组(联合治疗组,n=40)和单纯甲状腺癌根治术治疗组(单独治疗组,n=40)两组,对两组患者的临床症状和体征、PTH水平、术后短暂性和永久性甲状旁腺功能减退发生情况进行统计分析。结果联合治疗组患者的感觉异常、指/肢端麻木、焦虑比例均显著低于单独治疗组(P<0.05),PTH水平显著高于单独治疗组(P<0.05),术后短暂性和永久性甲状旁腺功能减退发生率17.5%(7/40)、0均显著低于单独治疗组42.5%(17/40)、12.5%(5/40)(P<0.05)。结论甲状腺癌根治术联合甲状旁腺自体移植术治疗甲状腺癌的临床效果较单纯甲状腺癌根治术好,值得在临床推广。
Objective To investigate the clinical effect of radical thyroidectomy combined with parathyroid autotransplantation in the treatment of thyroid carcinoma. Methods 80 cases of patients with thyroid carcinoma in our hospital from May 2014 to May 2016 were selected, these patients were randomly divided into thyroid cancer radical resection combined with parathyroid autotransplantation treatment group （ combined treatment group, n = 40 ） and simple thyroid cancer resection treatment group （ single treatment group, n = 40 ） two groups, the clinical symptoms and signs, PTH levels, postoperative transient and permanent hypoparathyroidism occurred of the two groups were statistically analyzed. Results The paresthesia, numbness, anxiety / mean ratios of the combined treatment group were significantly lower （ P 〈 0. 05 ） , the PTH le＇vel was significantly higher （ P 〈 0. 05 ） , the postoperative transient and permanent hypoparathyroidism occurred rates 17. 5% （7/40） , 0 were significantly lower than the single treatment group 42. 5% （ 17/40）,12. 5% （ 5/40 ） （ P 〈 0. 05 ）. Conclusions The clinical effect of radical thyroideetomy combined with parathyroid autotransp!antation in the treatment of thyroid carcinoma is better than simple thyroid cancer resection, so is worthy of promotion in the clinical.
出处
《航空航天医学杂志》
2017年第4期417-419,共3页
Journal of Aerospace medicine
关键词
甲状腺癌根治术联合甲状旁腺自体移植术
甲状腺癌
临床效果
Radical thyroidectomy combined with parathyroid autotransplantation
Thyroid carcinoma
Clinical effect
