甲状腺腺叶切除术治疗甲状腺结节的疗效分析

Study the efficacy of total thyroidectomy in treating thyroid nodules

目的分析甲状腺结节运用甲状腺腺叶切除术(TTD)治疗效果。方法前瞻性选择2012年1月至2016年1月于我院诊治的甲状腺结节患者156例,依据手术方式的不同设为对照组与研究组,每组各78例,前者予甲状腺次全切除,后者予TTD,对比两组临床疗效,治疗费用、住院时间及术后并发症。结果研究组出血量、手术时间、术后引流量手术指标及术后疼痛评分均比对照组优,比较差异显著具统计学意义(P<0.05);且研究组治疗费用(6898.45±494.76)元比对照组(8572.93±651.42)元低,住院时间(6.33±1.12)d比对照组(8.15±1.43)d短,比较差异均具有统计学意义(P<0.05);研究组并发症总发生率12.82%比对照组46.15%低,比较差异显著具统计学意义(P<0.05)。结论甲状腺结节患者运用TTD治疗可降低出血量,缩短手术时间与住院时间,减少患者经济负担与并发症发生。

Objective To analyze the efficacy of total thyroidectomy（ TTD） in treating thyroid nodules.Methods 156 cases of thyroid nodules patients,hospitalized in our hospital during January 2012 and January2016,were prospectively taken into the study,and they were divided into two group according to the different surgical approach. The 78 cases in control group received subtotal thyroidectomy,while the 78 cases in study group were given TTD. Clinical efficacy,the cost of treatment,hospitalization and postoperative complications of the two groups were compared. Results The blood loss,operation time,postoperative drainage surgery and postoperative pain index scores of study group was better than the control group,the differences were statistically significant（ P〈0.05）. The treatment cost of the study group（ 6898.45±494.76） was lower than the control group（ 8572.93±651.42）. The hospital stay of study group（ 6.33±1.12） was shorter than the control group（ 8.15±1.43）,the difference was statistically significant（ P〈0.05）. The overall incidence of complications in study group was lower than the control group（ 12. 82% vs 39. 74%）,which has a significant difference（ P〈0. 05）.Conclusions The application of TTD therapy in patients with thyroid nodules can reduce the amount of bleeding,shorten operation time and hospital stay and reduce the economic burden and the occurrence of complications.