甲状腺腺叶切除术治疗甲状腺结节的临床疗效

Clinical Effect of Hemithyroidectomy in the Treatment of Thyroid Nodule

目的探讨甲状腺腺叶切除术治疗甲状腺结节的效果。方法通过对2015年1月至2017年12月在我院治疗的150例甲状腺结节患者随机分组,对照组应用甲状腺次全切术治疗,实验组甲状腺腺叶切除术治疗,比较两组患者手术指标、甲状腺激素水平和并发症发生情况。结果实验组手术时间(121.53±5.09)min、术后引流量(47.97±1.67)mL、手术出血量(74.59±5.63)m L,较对照组比较明显下降(P<0.05);治疗后实验组TSH(2.99±0.51)mIU/L、TPO(64.32±21.53)IU/L、TT4(92.01±14.57)nmol/L同对照组比较明显改善(P<0.05);实验组并发症发生率为10.67%明显低于对照组29.33%(P<0.05)。结论针对甲状腺结合患者应用甲状腺腺叶切除术治疗可明显提高手术指标,改善甲状腺激素水平,降低并发症发生率,促进患者康复,值得推广应用。

Objective To investigate the effect of hemithyroidectomy in the treatment of thyroid nodule.Methods 150 cases with thyroid nodule in our hospital from January 2015 to December 2017 were randomly divided,the control group was given subtotal thyroidectomy,and the observation group was given hemithyroidectomy,observe the operation indexes,thyroid hormone levels and complication occurrence conditions of the two groups.Results Operation time,postoperative drainage volume,operative blood loss of the observation group [(121.53 ±5.09)min,(47.97 ±1.67)mL,(74.59 ±5.63)mL] were significantly declined compared with those before treatment(P<0.05);after treatment,TSH,TPO,TT4 of the observation group [(2.99±0.51)m IU/L,(64.32±21.53)IU/L,(92.01±14.57)nmol/L] were significantly improved compared with those before treatment(P<0.05);complication occurrence rate of the observation group(10.67%)was significantly lower than that of the control group(29.33%)(P<0.05).Conclusion The application of hemithyroidectomy in the treatment of thyroid nodule can significantly improve the operation indexes,thyroid hormone levels,reduce complication occurrence rate and promote the recovery of patients,it is worthy of wide application.