全切与近全切手术治疗甲状腺癌的疗效及不良反应对比

Comparison on Curative Effect and Adverse Effect of Total and Near-Total Thyroidectomy for Thyroid Cancer

目的观察对比全切与近全切手术治疗甲状腺癌的临床效果及不良反应发生率。方法选取北京北亚骨科医院2016年1月至2018年12月收治的甲状腺癌患者52例,利用奇偶数分组法分为对照组与实验组,每组各26例。对照组患者行全切手术治疗,实验组行近全切手术治疗。观察并比较两组患者的临床疗效与不良反应发生情况。结果实验组患者临床治疗有效率为96.16%,显著高于对照组的73.08%,组间比较差异有统计学意义(P<0.05);实验组患者的不良反应发生率为3.85%,显著低于对照组的23.07%,组间比较差异有统计学意义(P<0.05)。结论与全切手术治疗比较,近全切手术治疗甲状腺癌临床治疗效果更显著,且不良反应较少。

Objective To explore the clinical effect and adverse effect of total and subtotal thyroidectomy in the treatment of thyroid cancer.Methods A total of 52 thyroid cancer patients admitted to Beijing north Asia orthopaedic hospital from January 2016 to December 2018 were selected.The patients were divided into control group and experimental group by odd and even number method,with 26 cases in each group.The control group received total resection,while the experimental group received near-total resection.The clinical efficacy and adverse reactions of the two groups were observed and compared.Results The effective rate of the experimental group was 96.16%,which was significantly higher than that of the control group(73.08%).The incidence of adverse reactions in the experimental group was 3.85%,significantly lower than that in the control group(23.07%),and the difference between groups was statistically significant(P<0.05).Conclusion Compared with total thyroidectomy,subtotal thyroidectomy is more effective and less adverse reactions in the treatment of thyroid cancer.