不同甲状腺切除术在分化型甲状腺癌中的对比分析

Comparison Analysis of Different Thyroidectomy for Differentiated Thyroid Cancer

目的分析次全甲状腺切除手术和全甲状腺切除手术在分化型甲状腺癌中的干预效果差异。方法选择2017年7月—2020年7月淄博市妇幼保健院收治的76例分化型甲状腺癌患者为研究样本,采取随机数字排列表法将其分成A组与B组,各38例。A组患者予以全甲状腺切除手术干预,B组患者予以次全甲状腺切除手术干预。对比2组患者治疗总有效率、手术过程中出血量、手术时间以及住院时间及并发症发生率。结果A组治疗总有效率为97.37%,高于B组的81.58%(P<0.05)。A组住院时间分别为(6.51±1.03)d,B组为(6.57±1.09)d,差异无统计学意义(P>0.05)。B组患者手术过程中出血量为(93.20±5.11)mL,多于A组的(50.19±3.56)mL,差异有统计学意义(P<0.05)。B组患者手术时间为(112.57±6.98)min,长于A组的(70.96±4.87)min(P<0.05)。A组并发症发生率为36.84%,高于B组的13.16%(P<0.05)。A组术后引流量为(30.34±4.43)mL,少于B组的(43.12±4.86)mL(P<0.05);A组引流管拔出时间为(3.34±0.23)d,短于B组的(4.10±0.29)d(P<0.05)。结论分化型甲状腺癌患者采用全甲状腺切除手术治疗可提升治疗效果,降低术中出血量,缩短手术时间;但是术后并发症较多,因此需要依据患者实际情况合理选择手术方式。

Objective To analyze the difference in intervention effects between subtotal thyroidectomy and total thyroidectomy in differentiated thyroid cancer.Methods A total of 76 patients with differentiated thyroid cancer admitted to Zibo Maternal and Child Health Hospital from July 2017 to July 2020 were selected as the study samples,and were randomly divided into group A and group B using a random number permutation table method,with 38 cases in each group.group A patients underwent total thyroidectomy intervention,while group B patients underwent subtotal thyroidectomy intervention.The total effective rate of treatment,amount of bleeding during surgery,surgical time,hospital stay,and incidence of complications between two groups of patients were compared.Results The total effective rate of treatment in group A was 97.37%,which was higher than 81.58%of group B(P<0.05).The hospitalization time of group A was(6.51±1.03)days,while that of group B was(6.57±1.09)days,with no statistically significant difference(P>0.05).The amount of bleeding during surgery in group B was(93.20±5.11)mL,which was more than(50.19±3.56)mL of group A,and the difference was statistically significant(P<0.05).The surgical time for group B patients was(112.57±6.98)minutes,which was longer than(70.96±4.87)minutes of group A(P<0.05).The incidence of complications in group A was 36.84%,higher than 13.16%of group B′s(P<0.05).The postoperative drainage volume of group A was(30.34±4.43)mL,which was lower than(43.12±4.86)mL of group B(P<0.05).The extraction time of drainage tube in group A was(3.34±0.23)days,which was shorter than(4.10±0.29)days of group B(P<0.05).Conclusion Total thyroidectomy can improve treatment efficacy,reduce intraoperative bleeding,and shorten surgical time in patients with differentiated thyroid cancer.However,there are many postoperative complications,so it is necessary to choose a reasonable surgical method based on the patient′s actual situat ion.