甲状腺全切除术与半切除术治疗甲状腺癌的临床效果分析

Analysis of the Effect of Total Resection and Half Resection of Thyroid on the Thyroid Carcinoma

目的:比较甲状腺全切除术与半切除术治疗甲状腺癌的临床效果。方法:选取我院收治的90例甲状腺癌患者,对所有患者行甲状腺全切除术或近全切除术,同时应用I131以及甲状腺激素抑制治疗作为辅助治疗,并对所有患者进行随访。结果:两组患者的术中出血量、喉返神经显露率比较差异无统计学意义(P>0.05),观察组的手术切口以及手术时间均明显长于对照组(P<0.01),甲状旁腺显露率高于对照组(P<0.01)。两组患者暂时性、永久性喉返神经损伤,暂时性、永久性甲状旁腺功能低下发生率比较差异无统计学意义(P>0.05)。复发率为13.33%(6/45),观察组无复发,两组患者术后复发率比较差异具有统计学意义(P<0.05)。结论:甲状腺全切除术治疗甲状腺癌的效果优于半切除术,且能够有效降低术后复发率。

Objective：To Analysis the effect of suppressing thyroid carcinoma metastasis process of using total resection of thyroid contrast and half resection.Methods：Selected 90 cases of patients with thyroid cancer in our hospital,for all patients received thyroid resection or subtotal resection,all at the same time using I131 and thyroid hormone suppression therapy as auxiliary treatment,and follow-up for all patients.Results：No statistical difference was found in the bleeding amount,laryngeal recurrent nerve exposure rate between two groups of patients （P〉0.05）,the incision and operation time in observation group were significantly longer than those of the control group （P〈 0.01）,the parathyroid gland show rate was higher than that in the control group （P〈0.01）,the temporary and permanent laryngeal recurrent nerve injury,temporary and permanent parathyroid function showed no significant difference between two groups （P〉0.05）.Recurrence was found in 6 cases of the control group,the recurrence rate was 13.33% （6/45）,none was found in the observation group,the postoperative recurrence rate was significantly higher in the control group than that of the observation group （P 〈 0.05）.Conclusion：The application of total resection of thyroid gland was better than half resection in the treatment of thyroid carcinoma,which could effectively reduce the postoperative recurrence.