甲状腺良性结节应用全甲状腺切除治疗的临床预后情况分析及研究

Analysis and Study on the Clinical Prognosis of Thyroid Benign Nodules Treated with Total Thyroidectomy

目的探讨甲状腺良性结节应用全甲状腺切除治疗的临床预后。方法将2017年4月至2018年3月甲状腺良性结节患者90例数字表法分组为对照组47例和观察组43例。对照组进行甲状腺次全切手术,观察组进行全甲状腺切除术。比较两组疗效;术后疼痛延续时间、使用镇痛药物时间;手术前后患者远期生存质量状况;手术并发症率。结果观察组疗效高于对照组,P<0.05;观察组术后疼痛延续时间、使用镇痛药物时间优于对照组,P<0.05;手术前两组远期生存质量状况无明显差异,P>0.05;手术后观察组远期生存质量状况优于对照组,P <0.05。观察组手术并发症率低于对照组,P <0.05。结论甲状腺良性结节患者行全甲状腺切除术疗效明显,可更好改善远期生存质量状况,加速康复。

Objective to explore the clinical prognosis of thyroid benign nodules treated with total thyroidectomy. Methods a total of 90 cases of patients with benign thyroid nodules from April 2017 to March 2018 were divided into 47 cases in the control group and 43 cases in the observation group. The control group underwent subtotal thyroidectomy and the observation group underwent total thyroidectomy. The effects of the two groups were compared, the duration of postoperative pain, the time of analgesic drugs, the long-term quality of life of patients before and after operation and the complication rate. Results the curative effect of the observation group was higher than that of the control group, P〈0.05.The duration of postoperative pain and use of analgesic drugs in the observation group were better than those in the control group, P〈0.05.There was no significant difference in long-term quality of life between the two groups before surgery, P〉0.05.The long-term quality of life in the observation group was better than that in the control group, P〈0.05.The operative complication rate of the observation group was lower than that of the control group, P〈0.05. Conclusion total thyroidectomy in patients with benign thyroid nodules has obvious curative effect, which can improve long-term quality of life and accelerate rehabilitation.