摘要
目的探讨全甲状腺切除在甲状腺良性结节治疗中的疗效。方法 60例甲状腺良性结节患者,根据手术方式的不同分为观察组与对照组,各30例。对照组开展次全切手术治疗,观察组行全甲状腺切除手术治疗。比较两组患者手术治疗效果;手术耗时、手术失血量、术后恢复时间;复发及手术二次实施情况。结果观察组总有效率为100.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。观察组患者手术耗时(72.55±10.11)min、手术失血量(53.12±11.12)ml、术后恢复时间(6.11±1.21)d均优于对照组的(79.80±10.22)min、(59.98±11.21)ml、(6.89±1.27)d,差异均有统计学意义(P<0.05)。观察组患者复发率、手术二次实施率均为0,低于对照组的20.00%、16.67%,差异有统计学意义(P<0.05)。结论甲状腺良性结节患者行全甲状腺切除手术疗效确切,可降低复发率、手术二次实施率。
Objective To discuss the efficacy of total thyroidectomy in the treatment of benign thyroid nodules. Methods A total of 60 patients with benign thyroid nodules were divided by different surgical methods into observation group and control group, with 30 cases in each group. The control group was treated with subtotal resection, and the observation group was treated with total thyroidectomy. Comparison were made on surgical treatment effect, operation time, surgical bleeding volume, recurrence and reoperation condition between the two groups. Results The observation group had higher total effective rate as 100.00% than 80.00% in the control group, and the difference was statistically significant（P〈0.05）. The observation group had better operation time as（72.55±10.11） min, surgical bleeding volume as（53.12±11.12） ml and postoperative recovery time as（6.11±1.21） d than（79.80±10.22） min,（59.98±11.21） ml and（6.89±1.27） d in the control group, and their difference was statistically significant（P〈0.05）. The observation group had recurrence rate and reoperation rate as 0, which were lower than 20.00% and 16.67% in the control group, and their difference was statistically significant（P〈0.05）. Conclusion Total thyroidectomy is effective for patients with benign thyroid nodules, and it can reduce the recurrence rate and reoperation rate.
作者
贾泽斌
穆向明
JIA Ze-bin(Department of General Surgery,Yancheng 224000,China)
出处
《中国实用医药》
2018年第33期15-16,共2页
China Practical Medicine
