中国卫生标准管理
中國衛生標準管理
중국위생표준관리
CHINA HEALTH STANDARD MANAGEMENT
2015年
15期
55-56
,共2页
手术%结节性甲状腺肿合并甲状腺癌%临床效果
手術%結節性甲狀腺腫閤併甲狀腺癌%臨床效果
수술%결절성갑상선종합병갑상선암%림상효과
Surgery%Nodular goiter with thyroid carcinoma%Clinical effect
目的：分析手术治疗结节性甲状腺肿合并甲状腺癌的临床效果。方法选取2012年8月～2013年8月结节性甲状腺肿合并甲状腺癌患者25例，所有患者均行手术治疗，记录患者平均手术时间、住院时间、术中出血量、手术切口长度、术后引流量和并发症、2年复发率、治疗前后生活质量。结果患者平均手术时间为（126.83±35.32）分钟；术中出血量为（21.75±10.64）ml；患者住院治疗时间为（9.24±4.36）天；手术切口长度为（6.12±2.46）cm；术后引流量为（74.53±13.22）ml。患者术后出现暂时性喉返神经麻痹1例，低钙血症1例，声音嘶哑1例，发生率为12.0%；随访2年，有1例复发，复发率为4.0%。治疗后患者生活质量明显优于治疗前，差异有统计学意义（P <0.05）。结论手术治疗结节性甲状腺肿合并甲状腺癌的临床效果显著，手术并发症发生率低，远期复发率低，有利于改善患者生活质量，值得推广。
目的：分析手術治療結節性甲狀腺腫閤併甲狀腺癌的臨床效果。方法選取2012年8月～2013年8月結節性甲狀腺腫閤併甲狀腺癌患者25例，所有患者均行手術治療，記錄患者平均手術時間、住院時間、術中齣血量、手術切口長度、術後引流量和併髮癥、2年複髮率、治療前後生活質量。結果患者平均手術時間為（126.83±35.32）分鐘；術中齣血量為（21.75±10.64）ml；患者住院治療時間為（9.24±4.36）天；手術切口長度為（6.12±2.46）cm；術後引流量為（74.53±13.22）ml。患者術後齣現暫時性喉返神經痳痺1例，低鈣血癥1例，聲音嘶啞1例，髮生率為12.0%；隨訪2年，有1例複髮，複髮率為4.0%。治療後患者生活質量明顯優于治療前，差異有統計學意義（P <0.05）。結論手術治療結節性甲狀腺腫閤併甲狀腺癌的臨床效果顯著，手術併髮癥髮生率低，遠期複髮率低，有利于改善患者生活質量，值得推廣。
목적：분석수술치료결절성갑상선종합병갑상선암적림상효과。방법선취2012년8월～2013년8월결절성갑상선종합병갑상선암환자25례，소유환자균행수술치료，기록환자평균수술시간、주원시간、술중출혈량、수술절구장도、술후인류량화병발증、2년복발솔、치료전후생활질량。결과환자평균수술시간위（126.83±35.32）분종；술중출혈량위（21.75±10.64）ml；환자주원치료시간위（9.24±4.36）천；수술절구장도위（6.12±2.46）cm；술후인류량위（74.53±13.22）ml。환자술후출현잠시성후반신경마비1례，저개혈증1례，성음시아1례，발생솔위12.0%；수방2년，유1례복발，복발솔위4.0%。치료후환자생활질량명현우우치료전，차이유통계학의의（P <0.05）。결론수술치료결절성갑상선종합병갑상선암적림상효과현저，수술병발증발생솔저，원기복발솔저，유리우개선환자생활질량，치득추엄。
Objective To analyze the surgical treatment the clinical effect of nodular goiter with thyroid carcinoma.MethodsAugust 2012~August 2013, 25 patients with nodular goiter with thyroid carcinoma, al of the patients were performed surgical treatment, patients with record average operation time, intraoperative blood loss, hospitalization time, incision length, flow rate and complications and postoperative recurrence 2 years, before and after treatment, the quality of life. Results The patients with average operation time was (126.83±35.32) minutes; Intraoperative blood loss for ml (21.75±10.64); Patients hospitalized for (9.24±4.36) days; Incision length is (6.12±2.46) cm; Had the traffic for ml (74.53±13.22). Temporarily in postoperative patients with laryngeal recurrent nerve paralysis in 1 case, 1 cases with hypocalcemia, hoarseness in 1 case, the rate of 12.0%; 2 years of folow-up, 1 case of recurrence, the recurrence rate was 4.0%. Patients quality of life after treatment is better than before the treatment, the difference was statisticaly significant (P < 0.05).Conclusion Surgical treatment of nodular goiter with thyroid cancer clinical effect is remarkable, surgical complication rates were low, long-term recurrence rate is low, is beneficial to improve the patients quality of life, is worth promoting.
