甲状腺癌患者采用甲状腺全切术的临床效果及安全性分析

Analysis of the Clinical Effect and Safety of Total Thyroidectomy in Patients With Thyroid Cancer

目的探讨甲状腺全切术对甲状腺癌患者的治疗效果及安全性。方法选取我院2015年2月—2016年2月收治的甲状腺癌患者120例作为研究对象。将其随机分为对照组与观察组。对照组患者采用近全切术治疗,观察组患者采用全切术治疗。观察临床效果,比较复发率、转移率和并发症发生情况。结果观察组患者的治疗总有效率为75.0%,对照组患者的治疗总有效率为86.7%,差异均无统计学意义(P>0.05);两组患者复发率和转移率对比,差异无统计学意义(P>0.05);两组患者的各并发症发生率对比,差异具有统计学意义(P<0.05)。结论对早期无淋巴结转移甲状腺癌患者而言,甲状腺全切术治疗效果显著,但并发症概率高。

Objective To investigate the total thyroidectomy for thyroid cancer treatment effect and safety. Methods 120 cases of thyroid cancer patients treated in our hospital from February 2015 to February 2016 were selected as the research objects. They were randomly divided into the control group and the observation group. Patients in the control group were treated with near total resection, patients in the observation group were treated with total resection. The clinical effects were observed, and the recurrence rate, metastasis rate and complications were compared. Results The total efficiency of the observation group was 75.0%, the total effective rate of control group was 86.7%, the difference was not statistically significant（P〉 0.05）; Two groups of patients with metastasis and recurrence rate comparison, the difference was not statistically significant（P 〉0.05）; The probability of complications of the two groups were compared, the difference was statistically significant（P 〈0.05）. Conclusion The early lymph node metastasis in patients with thyroid carcinoma, thyroid resection treatment effect is remarkable, but the high probability of complications.