甲状腺全切治疗分化型甲状腺癌的临床意义与并发症研究

Clinical Significance and Complications of Total Thyroidectomy for Differentiated Thyroid Cancer

目的分析在分化型甲状腺癌患者治疗中应用甲状腺全切手术治疗有效性。方法该研究方便选择25例分化型甲状腺癌患者,患者入院治疗时间段均是2018年1—12月,为实施随机对照试验,将25例患者平均划分成对照组与观察组,对照组患者采取甲状腺患侧腺叶全切除术与峡部切除术,观察组应用甲状腺全切手术治疗,对比两组患者治疗有效性。结果观察组88.00%的治疗有效率,对照组60.00%的治疗有效率,对照组手术疗效低于观察组,差异有统计学意义(χ^2=4.250,P<0.05);观察组患者的并发症发生率明显低于对照组,差异有统计学意义(χ^2=6.865,P=0.001<0.05);观察组术后平均下床时间、平均住院时间明显比对照组短(χ^2=6.256、4.673,P=0.003、0.012;t=11.586、14.267,P=0.000、0.000<0.05)。结论在分化型甲状腺癌患者治疗中应用甲状腺全切手术治疗效果显著,值得应用。

Objective To analyze the effectiveness of total thyroidectomy in the treatment of patients with differentiated thyroid cancer.Methods A total of 25 patients with differentiated thyroid cancer were selected in this study.All patients were convenient admitted to hospital for treatment from January to December 2018.For randomized controlled trials,25 patients were divided into control group and observation.The patients in the control group were treated with total thyroidectomy and isthmus resection.The observation group was treated with total thyroidectomy,and the treatment effectiveness of the two groups was compared.Results 88.00%of the observation group was effective,and 60.00%of the control group was effective.The control effect of the control group was lower than that of the observation group,and there was statistical difference(χ^2=4.250,P<0.05).The incidence of complications was obvious in the observation group.Lower than the control group(χ^2=6.865,P=0.001<0.05),the difference was obvious;the average bedtime and average hospitalization time in the observation group were significantly shorter than the control group(χ^2=6.256,4.673,P=0.003,0.012;t=11.586,14.267,P=0.000,0.000<0.05).Conclusion The treatment of differentiated thyroid cancer patients with thyroidectomy is effective.It is worth applying.