中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
22期
3418-3420
,共3页
甲状腺炎,亚急性%手术治疗%疗效
甲狀腺炎,亞急性%手術治療%療效
갑상선염,아급성%수술치료%료효
Thyroiditis,subacute%Operation treatment%Curative effect
目的 探讨亚急性甲状腺炎的外科治疗疗效.方法 回顾性分析87例亚急性甲状腺炎患者的临床资料.依据患者治疗方法分为手术组39例、内科治疗组(保守组)48例.患者治疗结束后随访6个月,比较两组治疗结束后1周临床效果,比较两组治疗后6个月时的甲状腺功能.结果 手术组甲状腺功能亢进(甲亢)发生率(33.33％)显著高于保守组(8.33％),差异有统计学意义(x2 =8.554,P=0.003).手术组与保守组短期治疗有效率(89.74％与93.75％)差异无统计学意义(x2 =0.467,P=0.495).两组患者治疗后6个月甲状腺功能正常率差异无统计学意义(x2=4.947,P=0.084).保守组随访中确诊3例为甲状腺癌伴甲亢.结论 亚急性甲状腺炎的治疗方式应以内科治疗为主,但有一定的误诊率.对于顽固性亚急性甲状腺炎以及恶性肿瘤不能排除时,可选择手术方式治疗,但需全面评估手术的必要性.
目的 探討亞急性甲狀腺炎的外科治療療效.方法 迴顧性分析87例亞急性甲狀腺炎患者的臨床資料.依據患者治療方法分為手術組39例、內科治療組(保守組)48例.患者治療結束後隨訪6箇月,比較兩組治療結束後1週臨床效果,比較兩組治療後6箇月時的甲狀腺功能.結果 手術組甲狀腺功能亢進(甲亢)髮生率(33.33％)顯著高于保守組(8.33％),差異有統計學意義(x2 =8.554,P=0.003).手術組與保守組短期治療有效率(89.74％與93.75％)差異無統計學意義(x2 =0.467,P=0.495).兩組患者治療後6箇月甲狀腺功能正常率差異無統計學意義(x2=4.947,P=0.084).保守組隨訪中確診3例為甲狀腺癌伴甲亢.結論 亞急性甲狀腺炎的治療方式應以內科治療為主,但有一定的誤診率.對于頑固性亞急性甲狀腺炎以及噁性腫瘤不能排除時,可選擇手術方式治療,但需全麵評估手術的必要性.
목적 탐토아급성갑상선염적외과치료료효.방법 회고성분석87례아급성갑상선염환자적림상자료.의거환자치료방법분위수술조39례、내과치료조(보수조)48례.환자치료결속후수방6개월,비교량조치료결속후1주림상효과,비교량조치료후6개월시적갑상선공능.결과 수술조갑상선공능항진(갑항)발생솔(33.33％)현저고우보수조(8.33％),차이유통계학의의(x2 =8.554,P=0.003).수술조여보수조단기치료유효솔(89.74％여93.75％)차이무통계학의의(x2 =0.467,P=0.495).량조환자치료후6개월갑상선공능정상솔차이무통계학의의(x2=4.947,P=0.084).보수조수방중학진3례위갑상선암반갑항.결론 아급성갑상선염적치료방식응이내과치료위주,단유일정적오진솔.대우완고성아급성갑상선염이급악성종류불능배제시,가선택수술방식치료,단수전면평고수술적필요성.
Objective To explore the curative effects of operation in treatment of subacute thyroiditis.Methods The clinical data of 87 patients with subacute thyroiditis were retrospectively analyzed.According to the treatment methods,87 patients were divided into the operation group 39 cases and the medical treatment group(conservative group) 48 cases.Patients were followed up for 6 months after treatment.The clinical effect 1 week after the end of treatment was compared between the two groups.The thyroid functionat 6 months after the end of treatment was compared.Results The incidence rate of thyroid hyperfunction (hyperthyroidism) of the operation group was 33.33％,which was significantly higher than 8.33％ in conservative group,the difference was statistically significant (x2 =8.554,P =0.003).The effective rate of short-term treatment of operation group and the conservative group was 89.74％ and 93.75％,the difference was not significant (x2 =0.467,P =0.495).After 6 months of treatment,the normal rate of thyroid function between the two groups had no statistically significant difference(x2 =4.947,P =0.084).In the conservative group,3 cases were diagnosed as thyroid carcinoma complicated with hyperthyroidism.Conclusion For patients with refractory subacute thyroiditis or cannot exclude malignant tumors,operation can achieve good effect and less complications.
