摘要
目的对甲状腺全切除和次全切除术在甲状腺癌中的治疗效果进行探讨。方法选31例甲状腺癌患者作为此次研究人群,采用甲状腺全切除术治疗,并设为观察组。将同一时期收治的31例甲状腺癌患者纳入研究作为参照组,予以甲状腺次全切除术治疗。就两组患者的临床治疗情况以及预后情况展开分析和数据对比。结果对两组患者手术指标进行比较,观察组手术时间更短,术中出血量更少,数据之间有显著差异,有统计学意义(P<0.05);两组患者住院时间差异不明显,P>0.05;对两组患者预后情况进行比较,观察组的复发率以及二次手术率更低,并发症发生率更高,数据之间有显著差异,有统计学意义(P<0.05)。结论应用甲状腺全切除术对甲状腺癌进行治疗,其疗效与次全切除术相近,但其手术时间更短,出血更少,虽然其并发症率较高,但其可彻底切除病灶,有效降低了复发率以及二次手术率。
Objective To investigate the therapeutic effect of total thyroidectomy and subtotal thyroidectomy in thyroid cancer.Methods Thirty-one patients with thyroid cancer were enrolled in this study.All patients underwent total thyroidectomy and were enrolled in the study group.Thirty-one patients with thyroid cancer admitted to the same period were included in the study as a reference group for subtotal thyroidectomy.The analysis and data comparison were carried out on the clinical treatment and prognosis of the two groups of patients.Results The surgical indexes of the two groups were compared.The operation time of the observation group was shorter,the intraoperative blood loss was less,and there was significant difference between the data(P<0.05).The difference of hospitalization time between the two groups was not obvious,P>0.05.The prognosis of the two groups was compared.The recurrence rate and the second operation rate were lower in the observation group,and the complication rate was higher.There was significant difference between the data and statistical significance(P<0.05).Conclusion The treatment of thyroid cancer with total thyroidectomy is similar to subtotal resection.However,the operation time is shorter and the bleeding is less.Although the complication rate is higher,it can completely remove the lesion and effectively reduce it.The recurrence rate and the rate of secondary surgery.
作者
邱杰
QIU Jie(Second of Surgery,Botou Hospital,Botou,Hebei 062150)
出处
《智慧健康》
2019年第14期162-163,共2页
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