甲状腺腺叶切除治疗甲状腺结节的临床研究

Clinical Study of Thyroid Gland Lobectomy in the Treatment of Thyroid Nodules

目的分析甲状腺腺叶切除治疗甲状腺结节的临床疗效。方法回顾性分析28例采取甲状腺腺叶切除治疗的甲状腺结节患者的临床资料,观察分析患者的手术情况、临床疗效、并发症及随访结果。结果本组28例甲状腺结节患者均顺利完成甲状腺腺叶切除术,手术时间为(52.8±25.2)min、术中出血量为(76.3±21.1)ml;手术后,血清FT3、FT4水平均较术前有所降低,但差异无统计学意义(P>0.05);未出现严重并发症,其中低钙抽搐3例、声音嘶哑1例、术后出血1例,经对症处理后,显著缓解,不影响疗效和预后;随访半年,均无复发。结论甲状腺腺叶切除治疗甲状腺结节的疗效显著,对甲状腺功能影响小,并发症发生少,且操作较为简便,安全性高,预后良好。

Objective To analyze the clinical effect of thyroid gland lobectomy in the treatment of thyroid nodules. Methods The clinical data of 28 patients with thyroid nodules treated by thyroid gland lobectomy were retrospectively analyzed. The clinical outcomes,complications and followup results were observed and analyzed. Results This group of 28 patients with thyroid nodules were successfully completed lobectomy of thyroid gland,the operation time was（52.8±25.2） min,the amount of hemorrhage of（76.3±21.1） ml,after the surgery,the serum FT3 and FT4 levels were decreased,but the difference was not statistically significant（P〈0.05）,no serious complications,including convulsion in 3 cases,1 cases of hoarseness,1 cases of postoperative bleeding,after symptomatic treatment,significantly relieved,does not affect the curative effect and prognosis; six months follow-up,no recurrence. Conclusion The curative effect of thyroid gland lobectomy in the treatment of thyroid nodules is significant,and the effect on thyroid function is small,the complication is little,and the operation is simple,safe,and the prognosis is good.