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

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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