甲状腺全切术治疗甲状腺微小癌的临床疗效

Clinical efficacy of total thyroidectomy in treatment of thyroid cancer

目的分析甲状腺微小癌采用甲状腺全切术进行治疗的临床疗效。方法选取2013年5月—2016年10月平顶山市第一人民医院收治的甲状腺微小癌患者100例,随机分为对照组和观察组两组,对照组应用治疗方式为传统手术,观察组治疗方式进行甲状腺全切术,对比两组临床疗效。结果观察组住院时间、手术时间、术中出血量、手术切口长度为(4.05±1.22)d、(40.22±12.29)min、(40.25±12.38)ml、(5.02±1.02)cm,均少于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为8%,少于对照组的54%(P<0.05);观察组复发率、远处转移率与颈部淋巴结转移率分别为2%、6%、2%,均低于对照组的16%、16%、18%,组间对比差异有统计学意义(P<0.05)。结论甲状腺微小癌采用甲状腺全切术进行治疗的临床疗效显著,值得推广。

Objective To analyze the clinical efficacy of total thyroidectomy for thyroid microcarcinoma. Methods From May 2013 to October 2016 in the First People＇s Hospital of Pingdingshan city,100 cases of thyroid carcinoma patients,two groups were randomly divided into control group and observation group,control group used traditional surgery,observation group therapy for thyroid full cut method,compared clinical curative effect of two groups. Results Observation group length of hospital stay,operative time,intraoperative blood loss,length of incision were（ 4. 05 ± 1. 22） d,（ 40. 22 ±12. 29） min,ml（ 40. 25 ± 12. 38）,（ 5. 02 ± 1. 02） cm,were less than those the control group,the difference was statistically significant（ P〈 0. 05）; The incidence of complications in the observation group was 8%,less than 54% in the control group（ P〈 0. 05）. Observation group recurrence rate,distant metastasis rate and neck lymph node metastasis rate were 2%,6%,2%,were lower than the control group 16%,16%,18%,comparing differences between groups was statistically significant（ P〈 0. 05）. Conclusion The clinical curative effect of thyroidectomy is significant and worth promoting.