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时间:2020-05-14
《结节性甲状腺肿82例外科治疗的手术方式和效果回顾性分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、24世界最新医学信息文摘2014年第l4卷第22期·论著·结节性甲状腺肿82f~lgl'科治疗的手术方式和效果回顾性分析史战涛(内蒙古赤峰市赤峰学院附属医院普外科,内蒙古赤峰024000)摘要:目的探讨结节性甲状腺肿外科治疗的手术方式和效果。方法选取我院2010年1月到2013年10月间收治的82例甲结节性甲状腺肿患者,随机分为两组,每组41例,分为对照组和观察组。对照组患者行甲状腺全切除手术治疗,观察组患者行甲状腺次全切除术治疗,对两种手术方式的手术并发症、手术效果和复发率等指标进行对比观察。结果1本组
2、所有患者获得随访,术后随访6~24个月。两组患者治疗后I临床总有效率分别为97.6%及95.1%,差异无统计学意义(P>0.05)。两组患者术后并发症比较,观察组患者术后并发症明显低于对照组,P<0.05差异有统计学意义。两组患者治疗后复发率比较,差异无统计学意义(尸>0.05)。结论结节性甲状腺肿行次全切除术对患者造成的术后创伤小,所带来的并发症也较少,术后复发率低,同时避免了全切除术后终生口服甲状腺素的麻烦,该术式仍值得继续应用。关键词:结节性甲状腺肿;临床;甲状腺全切除;甲状腺次全切除中图分类号:R
3、581.3文献标识码:ADOI:10.3969/j.issn.1671—3141.2014.22.012TheretrospectiveanalysisofoperationmethodandeffectinthetreatmentOf82casesofnodulargoitersurgeryShiZhan—tao(InnerMongoliaChifengCiOzDepartmentofgeneralsurgeryofHospitalAlBliatedtoChifengCollege,ChifengInn
4、erMongolia,024000)ABSTRACT:0bjectiveToexploretheoperationmethodandefectofsurgica1treatmentfornodulargoiter.Methods82casesofthyroidnodulargoitertreatedinourhospitalwereselectedfrom2010Januaryto2013October.TheYwererandomlydividedintotwogroups.theobservation
5、groupandthecontrolgroupwith41caseseachgroup.Thecontrolgroupunderwenttotalthyroidectomyoperationtreatment.whilethepatientsinobservationgroupweregivensubtotalthyroidectomy.Thenthesetwokindsofoperationmode,theoperationcomplications,operationeriectandrecurren
6、ceratewereobservedandcompared.ResultsAfIerallthepatientswerefollowedupfor6.24months,theclinicaltotaleffectiveratewere97.6%and95.1%,respectively.Therewasnosignificantdiferencebetweentwogroupsf_尸>0.05).However,theincidenceofcomplicationwhichpatientsSUffered
7、fromafteroperationintheobservationgroupwassignificantlylowermanthatinthecontrolgroup.therewasstatisticallysignificantdiference0.05).ConclusionSubtotalresectiongivenpatientswit
8、hnodulargoitershowedsmalltrauma.feWcomplicationsandlOWrecurrencerateafteroperation.Atthesametimeitcanavoidora1rakenthyroxinefor1ifetimeaftertotalresection.Therefore.thesurgeryofSubtotalresectionisstillworthtobeappli
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