甲状腺全切术与甲状腺次全切术治疗双侧结节性甲状腺肿的临床效果

The Clinical Curative Effect of Thyroidectomy Method and Subtotal Thyroidectomy Method in the Treatment of Bilateral Nodular Goiter

目的:对比甲状腺全切术与甲状腺次全切术治疗双侧结节性甲状腺肿的临床效果。方法:选取2015年6月-2016年1月笔者所在医院普外科收治的双侧结节性甲状腺肿患者85例作为研究对象。根据患者手术术式将其分为A组(n=42)与B组(n=43),其中A组患者接受甲状腺全切术,B组患者接受甲状腺次全切术,比较两组患者治疗效果及一般临床指标。结果:A组患者治疗总有效率略高于B组,但差异无统计学意义(P>0.05);B组患者术后并发症发生率明显低于A组,差异有统计学意义(P<0.05),两组患者术后复发率比较差异无统计学意义(P>0.05)。结论:甲状腺全切术、甲状腺次全切术治疗双侧甲状腺肿均可获得良好效果,但甲状腺次全切术后并发症发生率更低,患者康复速度更快,具有临床应用及推广价值。

Objective：To compare the clinical curative effect of the thyroidectomy method and subtotal thyroidectomy method in the treatment of bilateral nodular goiter.Method：From June 2015 to January 2016,department of general surgery of 85 patients with bilateral nodular goiter were selected as the research object.According to the patient surgery procedures they were divided into group A（n=42） and group B（n=43）,group A treated with thyroidectomy method,group B treated with subtotal thyroidectomy,the effect and clinical data were compared in two groups.Result： Patients of group A total effective rate was slightly higher than that of group B,but statistical analysis showed no statistically significant difference（P〉0.05）.Incidence of postoperative complications in patients with B group was obviously lower than the group A（P〈0.05）,but there was no significant difference in two groups of patients with postoperative recurrence rate comparison（P〉0.05）.Conclusion：Thyroidectomy,subtotal thyroidectomy method in the treatment of bilateral goiter can obtain good effect,but the postoperative complications for subtotal thyroidectomy method is lower,patients recover faster and have clinical application and popularization value.