甲状腺腺叶切除术治疗甲状腺结节的临床研究

Study on clinical efficacy of hemi-thyroidectomy in treatment of patients with thyroid nodules

目的探讨甲状腺腺叶切除术治疗甲状腺结节的临床疗效。方法回顾性分析123例甲状腺结节患者的临床资料,随机分为甲状腺腺叶切除组及甲状腺次全切除组。观察比较两种治疗方法术中情况及术后并发症的发生率。结果两组患者术后均病情平稳,治疗组患者手术时间及术中出血量明显少于对照组组,术后声嘶、甲低钙抽搐、术后再出血及饮水呛咳的发生率明显低于对照组,两组间的差异具有统计学意义(P<0.05)。结论甲状腺腺叶切除能有效减少甲状腺结节患者的手术并发症和复发,应作为甲状腺外科的基本手术方式在临床上大力推广应用。

Objective To explore the clinical efficacy of hemi - thyroidectomy in treatment of patients with thyroid nodules. Methods One hundred and twenty - three patients with thyroid nodules were divided into hemi - thyroidectomy （ trial ） group and thyroid subtotal resection （control） group, and their clinical data were collected and analyzed, and incidence rates of intraoperative and postoperative complications were ob- served and compared. Results Patients in both groups were clinically stable, operating time and intraoperative blood loss of patients in trial group were significantly less than those of patients in control group, postoperative hoarseness, low calcium convulsions, incidence of postoperative bleed- ing and water choking were significantly lower than those of control group, and their difference was statistically significant （ P 〈 O. 05 ）. Conclu- sion The application of hemi - thyroidectomy in treatment of patients with thyroid nodules can effectively reduce surgical complications and recur- fence, it should be used as the basic surgical approach for thyroid surgery, and it is worthy for clinical application.