甲状腺全切术与次全切术治疗分化型甲状腺癌的临床效果对比评价

The clinical effect of total thyroidectomy and subtotal thyroidectomy in the treatment of differentiated thyroid carcinoma was evaluated

目的:探讨分析分化型甲状腺癌患者应用甲状腺全切术与次全切术治疗的临床效果及价值。方法:对2014年1月~2017年3月的70例分化型甲状腺癌患者进行研究,随机分为两组,对照组和治疗组,各35例。对照组采用甲状腺次切术进行治疗,治疗组采用甲状腺全切除进行治疗,观察两组的治疗效果。结果:治疗组的手术时间、术中出血量及住院时间,明显低于对照组;治疗组术后并发症的发生率高于对照组,组间对比差异具有统计学意义(P<0.05)。结论:对分化型甲状腺癌患者采用甲状腺癌全切术,可减少术中出血量,缩短手术时间及住院时间,但在术后却增高了并发症的发生几率。因此,两组患者的手术方式都具有各自的优势,医生需根据患者不同的情况选择合适的手术方法。

Objective:To explore the clinical effect and value of the treatment of total thyroidectomy and subtotal surgical treatment of differentiated thyroid cancer patients.Methods:70 patients with differentiated thyroid carcinoma from January 2014 to March 2017 were randomly divided into two groups,control group and treatment group,each with 35 cases.The control group was treated with thyroidectomy and the treatment group was treated with total thyroidectomy and the therapeutic effect of the two groups was observed.Result:The operation time,intraoperative blood loss and hospitalization time of the treatment group were significantly lower than the control group.The incidence rate of postoperative complications of the treatment group was higher than that in the control group,and the difference between groups was statistically significant(P<0.05).Conclusion:Using the thyroid carcinoma in patients with differentiated thyroid cancer cut method,can reduce the intraoperative blood loss,shorten the operation time and hospital stay,but increase the risk of the complications after surgery.Therefore,both groups of patients have their respective advantages,and the doctor should choose the appropriate surgical method according to the patient’s different conditions.