探讨手术治疗结节性甲状腺肿合并甲状腺癌的临床效果

To explore the clinical effect of surgical treatment of nodular goiter with thyroid cancer

目的研究对结节性甲状腺肿合并甲状腺癌患者应用手术治疗的临床价值。方法回顾性方式进行研究,时段:2019年1月-2020年8月,对象:我院82例结节性甲状腺肿合并甲状腺癌患者,遵从"平衡序贯法"分组将其分为对照组(40例,全甲状腺切除术)和观察组(42例,甲状腺次全切除术);观察临床疗效、手术情况、并发症发生率以及两组患者治疗前后生存质量。结果观察组临床疗效高达97.6%,对照组仅有80.0%,P<0.05。观察组手术耗时较短,术中失血量较少,镇痛药物使用时间等剩余指标用时较低,P<0.05。甲状旁腺损伤、喉返神经损伤、甲状腺功能减退等并发症发生率观察组仅为7.1%,对照组高达15.0%,但数据对比无显著差异。P>0.05。经手术治疗后观察组患者生存质量明显较对照组好,P<0.05。结论对结节性甲状腺肿合并甲状腺癌患者开展手术治疗,建议采纳甲状腺次全切除术,可提升临床疗效并促进患者尽快康复。

Objective To study the clinical value of surgical treatment for patients with nodular goiter and thyroid cancer.Methods The study was carried out in a retrospective manner.Period:January 2019-August 2020.Subject:82 patients with nodular goiter and thyroid cancer in our hospital.They were divided into the control group according to the"balance sequential method".(40 cases,total thyroidectomy)and observation group(42 cases,subtotal thyroidectomy);observe the clinical efficacy,surgical status,complication rate and the quality of life of the two groups before and after treatment.Results The clinical efficacy of the observation group was as high as 97.6%,while that of the control group was only 80.0%,P<0.05.In the observation group,the operation time was shorter,the blood loss during the operation was less,and the remaining indicators such as the time of using analgesics were lower,P<0.05.The incidence of complications such as parathyroid injury,recurrent laryngeal nerve injury,and hypothyroidism was only 7.1%in the observation group and as high as 15.0%in the control group,but there was no significant difference in data comparison.P>0.05.After surgical treatment,the quality of life of the observation group was significantly better than that of the control group,P<0.05.Conclusion Surgical treatment for patients with nodular goiter and thyroid cancer is recommended.Subtotal thyroidectomy is recommended to improve the clinical efficacy and promote the patient’s recovery as soon as possible.