甲状腺全切术与患侧次全切术对分化型甲状腺癌的疗效观察

目的研究在分化型甲状腺癌患者中使用甲状腺全切术以及患侧次全切术治疗的效果。方法将我院收治的分化型甲状腺癌患者作为本次研究的研究对象。50例患者都为2013年1月至2015年12月间收治，根据收治时间的差异将上述患者分为两组．A组25例患者进行甲状腺全切术，B组25例患者进行患侧次全切术，对比两组患者手术情况，并发症发生率以及术后复发情况。结果两组患者手术情况．比如手术时间以及住院时间等经对比没有明显差异（P〉0．05），但是B组患者暂时性喉返神经麻痹、术后继发性出血的发生率比A组高，差异有统计学意义（P〈0．05），同时A组患者疾病复发以及转移情况优于B组，统计学意义存在（P〈0．05）。结论对于分化型甲状腺癌患者，应该根据其情况选择合适的手术方法进行治疗。

Objective to study the use of thyroid gland in patients with differentiated thyroid cancer cut method, and the same time the treatment effect. Methods our hospital of differentiated thyroid cancer patients as the research object of this study, 50 cases were in January 2013 to December 2015, according to the different time in our hospital the patients can be divided into two groups, A group of 25 patients with thyroid cut method, all 25 patients in group B the same time the whole cut method, compared two groups of patients with surgery, complications and recurrence. Results two groups of patients with surgery, such as the operation time and hospital stay by contrast there were no significant differences （P〉0.05）, but group B patients＇ temporary laryngeal recurrent nerve paralysis, the incidence of postoperative hemorrhage secondary higher than group A, the difference was statistically significant （P〈0.05）, at the same time, A group of patients with disease recurrence and metastasis is superior to B group, exist statistical significance （P〈0.05）.Conclusion for patients with differentiated thyroid cancer, according to the situation to choose the appropriate surgical method for treatment.