甲状腺叶切除术治疗甲状腺结节的疗效分析

Efficacy Analysis of Thyroid Lobectomy in the Treatment of Thyroid Nodules

目的:分析甲状腺叶切除术治疗甲状腺结节的临床疗效。方法:选取2011年5月-2014年11月在笔者所在医院就诊的98例甲状腺结节患者,按照患者编号随机分为对照组与观察组,每组49例。对照组患者给予甲状腺次全切术治疗,观察组患者给予甲状腺叶切除术治疗,对比两组患者治疗效果和并发症情况。结果:与对照组相比,观察组患者手术耗时、术中出血量及甲状腺结节复发率均较低,差异均有统计学意义(P<0.05);在整个治疗中,观察组出现并发症5例(10.20%),对照组出现并发症17例(34.69%),同时观察组患者住院时间和治疗费用均低于对照组,差异均有统计学意义(P<0.05)。结论:甲状腺叶切除术应用于甲状腺结节的治疗中,不仅具有显著疗效,且术后并发症较少,同时能有效减少患者住院时间和治疗费用,值得临床大力推广与应用。

Objective： To discuss the clinical effect of thyroid lobectomy in the treatment of thyroid nodules.Method： From May 2011 to November 2014 in our hospital 98 cases of patients with thyroid nodules were randomly divided the treatment group and the control group, 49 cases in each group.The control group was received thyroid subtotal resection, The treatment group was received thyroid lobe resection, the effects of treatment and complications of two groups were compared.Result： The operation time, bleeding volume and recurrence rate of thyroid nodules of the treatment group were shorter than those of the control group, there were statistical significances（P〈0.05）.The whole treatment, the treatment group had complications occurred in 5 patients（10.20%）, the control group had complications occurred in 17 patients（34.69%）, while the patients hospitalization and treatment costs were lower than those of the control group, there were statistical significances（P〈0.05）.Concluslon： The thyroid lobectomy applied to the treatment of thyroid nodules, not only has a significant effect, and fewer postoperative complications, while effectively reducing the length of hospital stay and cost of treatment, is worthy of promotion and application vigorously.