甲状腺肿瘤患者的外科手术治疗

Surgical Treatment of Patients With Thyroid Tumor

目的针对外科手术治疗甲状腺肿瘤的效果进行初步探讨。方法收集110例甲状腺肿瘤患者(其中107例患者为良性肿瘤,3例患者为甲状腺癌)的临床有关治疗资料进行分析研究。结果甲状腺良性肿瘤患者中有其中1例患者为术后喉返神经损伤,喉返神经永久性损伤率为0.9%,暂时性损伤率为0.9%。3例患者复发需要进行二次手术,复发率为2.9%,术后患者没有产生出血与甲状旁腺功能低下症状。3例甲状腺癌患者中有2例患者复发,1例死亡,患者5年生存率为66.7%。60例微小癌患者中没有产生复发或转移的患者,5年生存率高达100%。3例甲状腺癌患者中有1例产生喉返神经损伤,所占比例为33.3%,术后没有患者出现出血与甲状旁腺功能低下等症状。结论甲状腺疾病患者经手术治疗后可使患者病情复发率等得到有效控制,使患者预后得到良好改善。

Objective To investigate the effect of surgical treatment of thyroid tumor.Methods The clinical data of 110 cases of thyroid tumor patients（107 cases of benign tumors and 3 cases of thyroid carcinoma） were collected and analyzed.Results Among the 1 patients with benign tumor of the thyroid gland,patients were injured,the recurrent laryngeal nerve injury rate was 0.9%,and the temporary injury rate was 0.9%.Two cases of patients with recurrence of the need for a 3 operation,the recurrence rate was 2.9%,postoperative patients did not produce bleeding and symptoms of low parathyroid function.Among 3 cases of thyroid carcinoma,2 cases had recurrence,1 patients died,the 5 years survival rate was 66.7%.60 patients with minimal cancer had no recurrence or metastasis,and the 5 year survival rate was 100%.1 cases of thyroid cancer patients with 3 cases of recurrent laryngeal nerve injury,the proportion was 33.3%,no postoperative bleeding and symptoms of low parathyroid function.Conclusion The principle of thyroid cancer treatment in patients with thyroid diseases can make the complications and the recurrence rate of the disease,significantly reduced,so that the prognosis of patients with good improvement.