甲状腺癌根治术前后骨密度和血钙水平的变化研究

Changes of Bone Density and Serum Calcium Levels Before and After Radical Thyroidectomy for Thyroid Cancer

目的研究甲状腺癌根治术前后骨密度和血钙的变化。方法选取76例甲状腺癌患者分成对照组和治疗组,每组38例。对照组单纯接受甲状腺癌根治术治疗;治疗组采用甲状腺癌根治术联合进行淋巴清扫。结果治疗组手术前后骨密度和血钙水平的变化幅度小于对照组;治疗总有效率为92.1%,对照组71.1%;并发症1例,对照组7例;术后生命体征复常时间和住院时间短于对照组;对手术满意度达到97.4%,对照组81.6%。差异有统计学意义(P<0.05)。结论甲状腺癌患者在接受根治手术治疗前后,骨密度和血钙水平基本不会变化。

Objective To study the changes of bone density and blood calcium before and after radical thyroid cancer surgery. Methods 76 cases of thyroid cancer were divided into control group and treatment group,with 38 cases in each group.The control group received radical thyroidectomy only.The treatment group underwent radical thyroidectomy combined with lymphatic dissection. Results The change of bone density and serum calcium level in the treatment group was smaller than that in the control group.The total effective rate of treatment was 92.1%,and 71.1% in the control group.There was 1 case with complications in treatment group,and there were 7 cases in control group.Postoperative vital signs recovery time and hospitalization time were shorter than the control group.The satisfaction to the operation was 97.4% and 81.6% in the control group.The difference was statistically significant （ P 〈0.05） . Conclusion The bone density and serum calcium levels of thyroid cancer patients remain unchanged after radical surgery.