甲状腺癌外科手术操作对手术并发症的影响

The influence of surgical procedure on the complications of thyroid carcinoma

目的探讨甲状腺外科手术操作对手术并发症的影响。方法选取岐山县医院肿瘤外科2013年3月至2016年2月收治的80例甲状腺患者作为研究对象,对所有患者行甲状腺次全、全切除术,分析术中的手术操作要点,观察术后患者并发症的情况及治疗措施。结果 80例患者的手术平均时间为(122.10±14.52)min,术中平均出血量为(151.23±21.14)m L,所有患者均治愈出院。其中,4例患者发生并发症,并发症发生率为5.0%,给予及时治疗后均治愈出院。结论分化型甲状腺癌是甲状腺次全、全切除术的主要手术适应证,术中操作解剖精细是有效降低并发症发生率的关键所在。

Objective To invesligale the effecl of surgical operalion of thyroid carcinoma and the surgical complicalions. Methods Eighty cases of thyroid palienls admitted in Deparlmenl of Tumor Surgery of Qishan Counly Hospital from March 2013 lo February 2016 were selected as research objects, which were treated with subtotal thyroidectomy and lolal resection. The main points of operalion were analyzed, and lhe complicalions after operalion were observed. Results The average operalion lime of eighty palienls was （122.10 ±14.52）min,andlheaverageinlraoperalivebleedingvolumewas （151.23 ±21.14） mL, all palienls were cured and discharged. There were 4 palienls with surgical complications, lhe incidence rale of complicalions was 5.0%, and lhe 4 palienls were cured after timely treatment. Conclusion Differentiated thyroid carcinoma is lhe main indication of subtotal thyroidectomy, and lhe key lo reducing lhe complicalions is lhal lhe operalion is fine.