国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
17期
2541-2543
,共3页
申阳%唐朝晖%江拥军%卿伯华%吴辰
申暘%唐朝暉%江擁軍%卿伯華%吳辰
신양%당조휘%강옹군%경백화%오신
甲状腺全切除术%甲状腺次全切除术%双侧结节性甲状腺肿
甲狀腺全切除術%甲狀腺次全切除術%雙側結節性甲狀腺腫
갑상선전절제술%갑상선차전절제술%쌍측결절성갑상선종
Total thyroidectomy%Subtotal thyroidectomy%Bilateral nodular goiter
目的 探讨甲状腺全切除术治疗双侧结节性甲状腺肿的临床效果.方法 选取2008年6月至2012年2月在我院治疗的双侧结节性甲状腺肿患者106例,将其随机分为观察组和对照组,各53例.观察组行甲状腺全切除术,对照组行甲状腺次全切除术,比较两组疗效.结果 观察组手术时间为( 131.54±44.67) min,无复发;对照组手术时间为(103.73±19.78) min,复发率为13.21%;观察组手术时间明显多于对照组,复发率明显低于对照组(P<0.05).结论 甲状腺全切除术治疗双侧结节性甲状腺肿,不增加患者的住院时间,不会使患者并发症发生率升高,虽然延长手术时间,但可明显降低复发率.
目的 探討甲狀腺全切除術治療雙側結節性甲狀腺腫的臨床效果.方法 選取2008年6月至2012年2月在我院治療的雙側結節性甲狀腺腫患者106例,將其隨機分為觀察組和對照組,各53例.觀察組行甲狀腺全切除術,對照組行甲狀腺次全切除術,比較兩組療效.結果 觀察組手術時間為( 131.54±44.67) min,無複髮;對照組手術時間為(103.73±19.78) min,複髮率為13.21%;觀察組手術時間明顯多于對照組,複髮率明顯低于對照組(P<0.05).結論 甲狀腺全切除術治療雙側結節性甲狀腺腫,不增加患者的住院時間,不會使患者併髮癥髮生率升高,雖然延長手術時間,但可明顯降低複髮率.
목적 탐토갑상선전절제술치료쌍측결절성갑상선종적림상효과.방법 선취2008년6월지2012년2월재아원치료적쌍측결절성갑상선종환자106례,장기수궤분위관찰조화대조조,각53례.관찰조행갑상선전절제술,대조조행갑상선차전절제술,비교량조료효.결과 관찰조수술시간위( 131.54±44.67) min,무복발;대조조수술시간위(103.73±19.78) min,복발솔위13.21%;관찰조수술시간명현다우대조조,복발솔명현저우대조조(P<0.05).결론 갑상선전절제술치료쌍측결절성갑상선종,불증가환자적주원시간,불회사환자병발증발생솔승고,수연연장수술시간,단가명현강저복발솔.
Objective To explore the clinical efficacy of total thyroidectomy for bilateral nodular goiter.Methods 106 patients with nodular goiter who had been treated in our hospital during the period of June 2008 to February 2012 were randomly divided into study group and control group,53 for each group.The study group received total thyroidectomy and the control group received subtotal thyroidectomy.The efficacy of the two procedures were compared.Results The surgical duration was significantly longer and the recurrence rate was markedly lower in the study group than in the control group [( 131.54 ± 44.67 ) min vs.( 103.73 ± 19.78 ) min and 0% vs.13.21%; P < 0.05].Conclusions Total thyroidectomy for bilateral nodular goiter does not increase the length of hospital stay and incidence of complications; although total thyroidectomy has longer surgical duration,it can significantly reduce the recurrence rate.