甲状腺全切除术在分化型甲状腺癌外科治疗中的应用价值

Application Value of Total Thyroidectomy in the Surgical Treatment of Differentiated Thyroid Cancer

目的探讨甲状腺全切除术在甲状腺癌外科治疗中的应用价值。方法对60例分化型甲状腺癌患者的临床资料进行回顾性分析和总结,其中采用甲状腺全切除术的患者48例,采用甲状腺次全切除术的患者12例。结果48例进行甲状腺全切除术的患者术后发生低钙及声嘶5例(10.42%),1年间甲状腺癌复发1例(2.08%);12例采用甲状腺次全切除术的患者术后发生低钙及声嘶6例(50.00%),1年间甲状腺癌复发5例(41.67%)。采用甲状腺次全切除术治疗的患者更易出现术后并发症(P=0.042),且1年间甲状腺癌的复发率更高。结论甲状腺全切除术是治疗分化型甲状腺癌的一种有效方式,但采用甲状腺全切除术对患者进行治疗时要预防并发症的发生。

Objective To investigate the application value of total thyroidectomy in the surgical treatment of differentiated thyroid cancer. Methods 60 cases of differentiated thyroid cancer were retrospectively analyzed and summarized,48 patients received total thyroidectomy, and 12 patients subtotal thyroidectomy. Results In 48 cases treated with total thyroidectomy,5 cases （10.42% ）had postoperative hypocalcemia and hoarseness, 1- year recurrence of thyroid cancer was 1 cases （2.08 % ） ;in 12 cases treated with subtotal thyroidectomy ,6 cases（50.00% ） had hypocalcemia and hoarseness, 1-year recurrence of thyroid cancer was 5 cases（41.67% ）;patients treated with total thyroidectomy were more likely to have postoperative complications （P = 0.042）. 1- year recurrence of thyroid cancer was higher. Conclusion The total thyroidectomy is an effective way to treat differentiated thyroid cancer, but we should prevent occurrence of complications in clinic.