甲状腺微波消融术和腺叶切除术治疗甲状腺结节的疗效比较

目的比较甲状腺微波消融术和腺叶切除术治疗甲状腺结节的疗效.方法选择2019年4月至2021年4月手术治疗的甲状腺结节患者104例.根据电脑随机模式将其分为对照组与观察组,各52例.对照组患者行甲状腺腺叶切除术治疗,观察组患者行甲状腺微波消融术治疗,比较两组患者手术相关指标、治疗效果、甲状腺功能和术后并发症发生情况.结果观察组出血量少于对照组,手术时间和住院时间短于对照组,手术瘢痕长度短于对照组,差异均有统计学意义(P<0.05);两组治疗总有效率比较差异无统计学意义(P>0.05);观察组术后FT3和FT4高于对照组,TSH低于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.05).结论甲状腺结节患者采用甲状腺微波消融术治疗甲状腺结节相较腺叶切除术,具有创伤小、并发症少等优点,可较好的保留甲状腺功能,在临床上值得应用与推广.

Objective To compare the efficacy of microwave thyroid ablation and thyroid lobectomy tor thyroid nodules.Methods 104 patients with thyroid nodules were selected from April 2019 to April 2021.According to computer random model,they were divided into control group and observation group,with 52 cases in each group.Patients in the control group were treated with thyroid lobectomy,and patients in the observation group were treated with microwave thyroid ablation.The operative indicators,therapeutic effect,thyroid function and postoperative complications of patients in the two groups were compared.Results The amount of blood loss in the observation group was less than that in the control group,the operation time and hospitalization time were shorter,and the length of surgical scar in the observation group was shorter than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the total effective rate between the two groups(P>0.05).Postoperative FT3 and FT4 in the observation group were higher than those in the control group,and TSH was lower in the observation group than that in the control group(P<0.05).The total incidence of complications in observation group was lower than that in control group(P<0.05).Conclusion Compared with adenolotomy,microwave ablation of thyroid for thyroid nodules has the advantages of less trauma and less complications,and can better preserve thyroid function,which is worthy of application and promotion in clinical practice.