摘要
目的探究甲状腺癌应用近全切与全切手术的临床效果.方法选取2017年12月至2018年10月在本院进行治疗的68例甲状腺癌患者,按照人院治疗单双顺序分成试验组(n=34)和对照组(n=34),对照组选择全切手术,实验组选择近全切手术,对比两种手术对患者的影响.结果试验组T4、FT4、TSH、T3、FT3水平和对照组相比,差异无统计学意义(均P>0.05);试验组住院时间、手术时间、术中出血量和对照组相比,差异有统计学意义(均P<0.05);两组在低钙血症、声音嘶哑、喉上神经损伤、手足麻木、甲状腺功能减退发生率上,差异有统计学意义(均P<0.05).结论甲状腺癌应用近全切手术效果优于全切手术,可减少术中出血量和手术时间,降低并发症发生率的同时缩短住院时间.
Objective To explore the clinical effects of total and near-total resection for thyroid cancer.Methods 68 patients with thyroid cancer treated in our hospital from December,2017 to October,2018 were selected.They were divided into an experimental group(n=34)and a control group(n=34)according to the admission order.The control group chose total resection,while the experimental group near-total resection.The effects were compared between the two groups.Results There were no statistical differences in the levels of T4,FT4,TSH,T3,and FT3,but were in the hospitalization time,operation time,and intraoperative bleeding volume,as well as in the incidences of hypocalcemia,hoarseness,laryngeal nerve injury,hand and foot numbness,and hypothyroidism,between the experimental group and the control group.Conclusions Near-total resection is better than total resection for thyroid cancer,which can reduce intraoperative bleeding volume and operation time and the incidence of complications,and shorten the length of hospital stay.
作者
黄国祥
谢楚平
陈思远
Huang Guoxiang;Xie Chuping;Chen Siyuan(Department of Thyroid Surgery,General Surgery District,Dongguan People's Hospital,Dongguan 523000,China)
出处
《国际医药卫生导报》
2019年第21期3622-3624,共3页
International Medicine and Health Guidance News
关键词
全切手术
近全切手术
甲状腺癌
并发症
甲状腺功能
Total resection
Proximal total resection
Thyroid cancer
Complications
Thyroid function
