全甲状腺切除对分化型甲状腺癌的临床疗效分析

The influence of total thyroidectomy on the clinical efficacy of differentiated thyroid cancer

目的:分析全甲状腺切除治疗分化型甲状腺癌的临床疗效。方法:2010年2月-2019年9月收治分化型甲状腺癌患者72例,随机分为两组。对照组实施甲状腺次全切除术治疗;观察组实施甲状腺全切术治疗。比较两组临床疗效。结果:观察组术后30 d治疗总有效率明显高于对照组,差异有统计学意义(P<0.05);观察组术后2年局部复发率及远处转移率均低于对照组,差异有统计学意义(P<0.05)。结论:全甲状腺切除术治疗分化型甲状腺癌,可显著改善患者临床症状,近期疗效和远期疗效均较好,并发症发生风险较低,安全性高。

Objective:To explore the clinical effect of total thyroidectomy on differentiated thyroid cancer.Methods:From February 2010 to September 2019,72 patients with differentiated thyroid cancer were selected and randomly divided into two groups.The control group was treated with subtotal thyroidectomy.The observation group was treated with total thyroidectomy.We compared the clinical efficacy of the two groups.Results:In the observation group,the total effective rate of 30 days after operation was significantly higher than that in the control group,the difference was statistically significant(P<0.05).In the observation group,the local recurrence rate and distant metastasis rate of 2 years after operation were lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion:Total thyroidectomy can significantly improve the clinical symptoms of patients with differentiated thyroid cancer,the short-term and long-term effects are good,the risk of complications is low,and the safety is high.