| 吴瑞正 滕奔宇 陈培升 吴志懂 肖顺崇.甲状腺次全切除术与甲状腺全切除术治疗结节性甲状腺肿的疗效对比分析[J].,2014,14(24):4689-4691 |
| 甲状腺次全切除术与甲状腺全切除术治疗结节性甲状腺肿的疗效对比分析 |
| Comparison of the Efficacy of Subtotal Thyroidectomy and TotalThyroidectomy Surgery for Treatment of Nodular Goiter |
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| DOI： |
| 中文关键词: 甲状腺次全切除术 甲状腺全切除术 结节性甲状腺肿 |
| 英文关键词: Subtotal thyroidectomy surgery Total thyroidectomy surgery Nodular goiter |
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| 中文摘要: |
| 目的：研究甲状腺次全切除术与甲状腺全切除术治疗结节性甲状腺肿的临床疗效。方法：选取2011 年1 月至2012 年12 月
我院收治的84 例结节性甲状腺肿患者，随机分为甲状腺次全切除术组（A组）和甲状腺全切除术组（B组），比较分析两组患者围
手术期指标、治疗效果及并发症发生情况。结果：A 组镇痛剂使用量、手术时间、术中出血量及住院时间少于B组，差异有统计学
意义（P<0.05）。A 组和B 组有效率差异无统计学意义（P>0.05），A 组复发率高于B组，差异有统计学意义（P<0.05）。并发症发生率
A组低于B组，差异有统计学意义（P<0.05）。结论：甲状腺次全切除术与甲状腺全切除术治疗结节性甲状腺肿疗效相似，甲状腺
次全切除术复发率更高，但并发症发生率更低。 |
| 英文摘要: |
| Objective:To study the efficacy of subtotal thyroidectomy and total thyroidectomy surgery clinical for the treatment of
nodular goiter.Methods:84 cases of nodular goiter patients from January 2011 to December 2012 in our hospital were selected and
randomly divided into subtotal thyroidectomy surgery group (group A) and total thyroidectomy group (group B), a comparative analysis
of two groups of patients' perioperative indicators, treatment and complications was observed.Results:There were significant difference
in two groups in analgesic usage, operation time, blood loss and hospital stay (P<0.05). Groups A and B have no significant difference in
efficiency (P>0.05), The recurrence rate of Group A was statistically higher than that of groupB (P<0.05). The complication rate in
group A was also higher than in group B, the difference was statistically significant (P<0.05).Conclusion:Thyroid subtotal resection and
total thyroidectomy treatment have similar efficacy in treatment of nodular goiter, thyroid subtotal resection can result in higher relapse
rate, but has a lower incidence of complications. |
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