CAJ | 학술논문

将128例甲状腺单叶良性病变病例根据手术方式分为腺叶切除术组(68例)、次全切除术组(60例).腺叶切除术组手术时间(63±14) min、术中出血量(54±15)ml、术后引流量(64±10)ml、住院天数(5.9±0.8)d、住院费用(8 335±278)元,均少于次全切除术组(均P＜0.05).两组患者术后声音嘶哑、饮水呛咳、低钙、甲状腺功能减低发生率差异均无统计学意义(均P ＞0.05),但术后复发率腺叶切除术组低于次全切除术组(P＜0.05).腺叶切除术治疗甲状腺单叶良性病变效果良好,值得临床推广应用.
장128례갑상선단협량성병변병례근거수술방식분위선협절제술조(68례)、차전절제술조(60례).선협절제술조수술시간(63±14) min、술중출혈량(54±15)ml、술후인류량(64±10)ml、주원천수(5.9±0.8)d、주원비용(8 335±278)원,균소우차전절제술조(균P＜0.05).량조환자술후성음시아、음수창해、저개、갑상선공능감저발생솔차이균무통계학의의(균P ＞0.05),단술후복발솔선협절제술조저우차전절제술조(P＜0.05).선협절제술치료갑상선단협량성병변효과량호,치득림상추엄응용.
According to operative modalities,128 patients with unilateral benign thyroid disease were divided into hemithyroidectomy group (n =68) and subtotal thyroidectomy group (n =60).The operative duration of hemithyroidectomy group was (63 ± 14) min,intraoperative blood loss (54 ± 15) ml,postoperative drainage volume (64 ± 10) ml and hospitalization stay (5.9 ±0.8) days.The hospital charge of (8 335 ± 278) yuan was less than that of subtotal thyroidectomy group (P ＜ 0.05).The incidence rate of postoperative hoarseness,water bucking,low calcium and hypothyroidism had no significant inter-group difference (P ＞ 0.05).But the postoperative recurrence rate of hemithyroidectomy was significantly lower than that of subtotal thyroidectomy group (P ＜ 0.05).Treating patients of unilateral benign thyroid disease with hemithyroidectomy yield excellent efficacies.It is worthy of wider clinical application.