甲状腺全切与次全切治疗结节性甲状腺肿的效果观察

Observation on Effect of Total Thyroidectomy and Subtotal Thyroidectomy in the Treatment of Nodular Goiter

目的对比甲状腺全切与次全切治疗结节性甲状腺肿的效果。方法选取2016年2月至2018年8月我院收治的结节性甲状腺肿患者400例,随机分为A组和B组各200例。A组采用甲状腺全切术治疗,B组采用甲状腺次全切术治疗,对比两组的手术相关指标、并发症及复发情况。结果与A组相比,B组术中出血量、镇痛剂使用量较低,手术时间及住院时间较短(P均<0.05)。与A组相比,B组的并发症发生率较低,复发率较高(P均<0.05)。结论与甲状腺全切相比,甲状腺次全切治疗结节性甲状腺肿患者可有效减少术中出血量,缩短术后恢复时间,减少并发症发生,但术后复发率较高。

Objective To compare the effect of total thyroidectomy and subtotal thyroidectomy in the treatment of nodular goiter.Methods 400 cases of patients with nodular goiter admitted to our hospital from February 2016 to August 2018 were selected and randomly divided into group A and group B,with 200 cases in each group.Group A received total thyroidectomy,while group B received subtotal thyroidectomy.The operation related indicators,complications and recurrence were compared between the two groups.Results Compared with group A,the intraoperative blood loss and analgesic dosage of group B were lower,and the operation time and hospitalization time were shorter(all P<0.05).Compared with group A,the incidence of complications in group B was lower,and the recurrence rate was higher(both P<0.05).Conclusions Compared with total thyroidectomy,subtotal thyroidectomy in the treatment of patients with nodular goiter can effectively reduce the intraoperative blood loss,shorten the postoperative recovery time and reduce the complications,but the postoperative recurrence rate is higher.