分化型甲状腺癌患者不同手术方式相关并发症的研究

Different Surgical Complications in Patients with Differentiated Thyroid Cancer

目的分析分化型甲状腺癌患者不同手术方式相关并发症发生情况。方法回顾性分析68例甲状腺癌患者的临床资料,观察分化型甲状腺癌患者不同手术方式相关并发症发生情况。结果单纯甲状腺全切术与甲状腺全切+淋巴结清扫术喉返神经损伤及低钙血症发生率比较差异无统计学意义(P>0.05);单纯甲状腺全切术及甲状腺全切+淋巴结清扫术喉返神经损伤、低钙血症发生率,均显著高于腺叶及峡部切除术和腺叶及峡部切除术+对侧大部切除术(P<0.05);腺叶及峡部切除术与腺叶及峡部切除术+对侧大部切除术并发症发生率比较差异无统计学意义(P>0.05)。结论对于分化型甲状腺癌,手术切除范围越大,其喉返神经损伤及低钙血症的发生率就越高。

Objective To discuss different surgical complications in patients with differentiated thyroid carcinoma . Methods Clinical data of 68 cases of thyroid carcinoma was analyzed .Different surgical complications in patients with differenti-ated thyroid carcinoma were observed .Results It was not statistically significant in recurrent laryngeal nerve injury and hypocal -cemia between thyroidectomy alone and thyroidectomy +lymphadenectomy (P>0.05).Recurrent laryngeal nerve injury and hy-pocalcemia after the thyroidectomy alone and the thyroidectomy +lymphadenectomy were greater than those after lobe and isth-mus resection alone and lobe and isthmus resection +contralateral subtotal resection (P<0.05).It was not statistically signifi-cant in complications between lobe and isthmus resection alone and lobe and isthmus resection +contralateral subtotal resection (P>0.05).Conclusion For differentiated thyroid carcinoma ,the greater the extent of surgical resection ,the greater the recur-rent laryngeal nerve injury and hypocalcemia .