双侧结节性甲状腺肿76例经甲状腺次全切除术治疗的疗效分析

发布时间：2019-07-06 06:11

【摘要】：目的探讨双侧结节性甲状腺肿采用甲状腺次全切除术治疗的临床效果。方法所选病例为2015年7月-2016年7月本院收治的双侧结节性甲状腺肿患者,共76例。采用回顾性分析的方法,对其一般资料进行调查。所有患者及家属均对本研究知情同意,并自愿签署知情同意书。按照随机数字表法,将76例患者分为研究组(甲状腺次全切除术)与对照组(甲状腺全切术)。治疗后随访6个月,对比两组手术时间、住院时间、术中出血量及术后并发症发生情况。结果两组手术时间、住院时间对比,结果有统计学意义(P0.05),但术中出血量对比,结果无统计学意义(P0.05);研究组、对照组术后并发症发生率分别为5.3%(2/38)、21.1%(8/38),结果有统计学意义(P0.05);研究组、对照组患者复发率分别为0.0%(0/38)、10.5%(4/38),结果有统计学意义(P0.05)。结论在双侧结节性甲状腺肿患者的临床治疗过程中,对其实施甲状腺次全切除术进行治疗,能获得较好的临床效果,且能减少并发症的发生,控制术后复发率,值得进行深入研究和推广。
[Abstract]:Objective to investigate the clinical effect of subtotal thyroidectomy for bilateral nodular goiter. Methods from July 2015 to July 2016, 76 patients with bilateral nodular goiter were selected. The general data were investigated by retrospective analysis. All patients and their families had informed consent to this study and signed informed consent voluntarily. According to the random digital table method, 76 patients were divided into study group (subtotal thyroidectomy) and control group (total thyroidectomy). The patients were followed up for 6 months after treatment. The operation time, hospitalization time, intraoperative blood loss and postoperative complications were compared between the two groups. Results there was significant difference in operation time and hospitalization time between the two groups (P 0.05), but there was no significant difference in the amount of bleeding during operation (P 0.05). The incidence of postoperative complications in the study group and the control group was 5.3% (2 鈮，

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