摘要
目的研究甲状腺结节患者采用甲状腺微波消融术和甲状腺腺叶切除术两种手术的治疗效果,为临床治疗甲状腺结节提供良好方法,改善患者预后。方法按随机数字表法将2019年6月至2021年10月期间来驻马店春林医院治疗的68例甲状腺结节患者进行分组研究,其中对照组患者(N=34)采用甲状腺腺叶切除术治疗,观察组患者(N=34)采用甲状腺微波消融术治疗。观察两组患者手术情况、甲状腺功能、治疗效果及并发症情况。结果观察组手术时间、切口长度及住院时间短于对照组,出血量少于对照组,差异有统计学意义(P<0.05)。治疗前两组患者FT3、FT4及TSH水平异常率对比,差异无统计学意义(P>0.05);治疗后观察组FT3、FT4及TSH水平异常率低于对照组,差异有统计学意义(P<0.05)。观察组治疗有效率高达94.12%,高于对照组的76.47%,差异有统计学意义(P<0.05)。观察组并发症发生率为5.88%,低于对照组的26.47%,差异有统计学意义(P<0.05)。结论采用甲状腺微波消融术治疗甲状腺结节患者效果较好,能有效缩短患者手术和恢复时间,降低出血量,减小切口,且对甲状腺功能影响较小,治疗效果更佳,并发症更少,值得临床应用。
Objective To study the therapeutic effects of microwave ablation and lobectomy of thyroid in patients with thyroid nodule disease,and to provide a better method for clinical treatment of thyroid nodule disease and improve the prognosis of patients.Methods A total of 68 thyroid nodule patients from June 2019 to October 2021 in Zhumadian Chunlin Hospital were selected as research subjects,the control group(N=34)was treated with lobectomy of thyroid gland,the patients in the observation group(N=34)were treated with microwave ablation of thyroid.The operation condition,thyroid function,therapeutic effect and complications were observed.Results The operation time,incisional length and hospitalization time in the observation group were shorter than those in the control group,the bleeding volume was less than that in control group(P<0.05).Before treatment,there was no difference in abnormal rates of FT3,FT4 and TSH between the two groups(P>0.05),but the abnormal rate of FT3,FT4 and TSH in the observation group was lower than those in the control group after treatment(P<0.05).The effective rate of the observation group was 94.12%,which was higher than that of the control group(76.47%,P<0.05).The incidence of complications in the observation group(5.88%)was lower than that in the control group(26.47%)(P<0.05).Conclusion The effect of microwave thyroid ablation in the treatment of patients with thyroid nodules is better,it can effectively shorten the operation and recovery time of patients,reduce the amount of blood loss and incision,and has less impact on thyroid function,therapeutic effect is better treatment effect,and it has fewer complications.it is worthy of clinical application.
作者
程四梅
王春兰
CHENG Simei;WANG Chunlan(Operating Room,Zhumadian Chunlin Hospital,Zhumadian Henan 463000,China;Operating Room of No.990 Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army,Zhumadian Henan 463000,China)
出处
《临床研究》
2022年第6期19-21,共3页
Clinical Research
