中药方剂联合腹腔镜甲状腺肿瘤切除术对甲状腺肿瘤患者的临床效果研究

Chinese Decoction and Laparoscopic Resection of Thyroid Cancer in Patients with Thyroid Cancer

目的:探讨中药方剂联合腹腔镜甲状腺肿瘤切除术对甲状腺肿瘤患者的临床疗效。方法:选择2008年1月—2013年1月我院收治的甲状腺肿瘤患者共84例,随机分为观察组50例和对照组34例,两组患者均行腹腔镜甲状腺肿瘤切除术,观察组患者术后加用我院自拟中药方,观察两组患者术后1月的疗效及患者治疗前后甲状腺球蛋白(TG)水平的变化。结果:对照组患者总有效率为70.59%,观察组患者总有效率为92.00%,两组比较差异具有统计学意义(P<0.05);TG水平比较,观察组患者治疗后较治疗前显著降低(P<0.05),治疗后观察组患者显著低于治疗后的对照组患者(P<0.05)。结论:中药方剂联合腹腔镜甲状腺肿瘤切除术能够显著提高患者术后的疗效,同时能够显著降低患者血清TG水平,从而降低肿瘤的复发率,值得临床上推广使用。

Objective ： To explore the effect of traditional Chinese medicine prescription and Laparoscopic resection of thyroid cancer patients with thyroid cancer. Methods ： January 2008 - January 2013 in our hospital, a total of 84 cases of thyroid cancer patients were randomly divided into observation group（50 cases）and the control group（34 patients）. Two groups underwent laparoscopic resection of thyroid tumors and the observation group added proposed prescriptions, observing for 1 month. Before and after treatment, thyroglobulin （TG） level changes were compared. Results： The control group g total effective rate was 70.59% and the observation groupg was 92% and there were significant differences between the two groups （ P 〈 0.05 ）. The TG level in observation group after treatment was decreased significantly after treatment （ P 〈 0.05） and that of the observation group was significantly lower after treatment than that of the control group （ P 〈 0. 05 ）. Conclusion： Chinese decoction and resection and laparoscopy can significantly improve the efficacy and significantly reduce serum TG levels,thereby reducing the recurrence rate of the tumor. It is worthy of promoting the use.