中国基层医药
中國基層醫藥
중국기층의약
Chinese Journal of Primary Medicine and Pharmacy
2015年
18期
2750-2753
,共4页
甲状腺切除术%老年甲状腺癌%生活质量
甲狀腺切除術%老年甲狀腺癌%生活質量
갑상선절제술%노년갑상선암%생활질량
Thyroidectomy surgery%Senile thyroid cancer%Quality of life
目的：比较不同的甲状腺切除术对老年甲状腺癌患者术后生活质量的影响。方法选择老年甲状腺癌患者56例，根据手术方式的不同将患者分为观察组25例组和对照组31例，其中观察组患者接受小切口改良术治疗，对照组患者接受常规甲状腺切除术治疗。记录和比较两组患者的手术时间、术中出血量、术中输血量、术后引流量、住院时间、治疗后1个月后的并发症情况以及 VAS 疼痛评分和 SF-36生活质量评分，并进行统计分析。结果观察组的手术时间、术中出血量、术中输血量、术后引流量以及住院时间明显低于对照组，差异均有统计学意义（t ＝3．568、2．139、6．368、3．716、3．569，均 P ＜0．05）；观察组的 VAS 评分和 SF-36评分分别为（2．02±0．25）分和（77．21±8．13）分，明显优于对照组的（2．61±0．29）分和（43．46±5．63）分，差异均有统计学意义（t ＝3．867、4．568，均 P ＜0．05）；观察组和对照组的并发症总发生率分别为16．0％（4／25）和35．5％（11／31），差异均有统计学意义（χ2＝0．035，P ＜0．05）。结论小切口改良术治疗老年甲状腺癌患者具有更好的疗效，且患者并发症少，明显提升其生活质量，在临床上值得推广应用。
目的：比較不同的甲狀腺切除術對老年甲狀腺癌患者術後生活質量的影響。方法選擇老年甲狀腺癌患者56例，根據手術方式的不同將患者分為觀察組25例組和對照組31例，其中觀察組患者接受小切口改良術治療，對照組患者接受常規甲狀腺切除術治療。記錄和比較兩組患者的手術時間、術中齣血量、術中輸血量、術後引流量、住院時間、治療後1箇月後的併髮癥情況以及 VAS 疼痛評分和 SF-36生活質量評分，併進行統計分析。結果觀察組的手術時間、術中齣血量、術中輸血量、術後引流量以及住院時間明顯低于對照組，差異均有統計學意義（t ＝3．568、2．139、6．368、3．716、3．569，均 P ＜0．05）；觀察組的 VAS 評分和 SF-36評分分彆為（2．02±0．25）分和（77．21±8．13）分，明顯優于對照組的（2．61±0．29）分和（43．46±5．63）分，差異均有統計學意義（t ＝3．867、4．568，均 P ＜0．05）；觀察組和對照組的併髮癥總髮生率分彆為16．0％（4／25）和35．5％（11／31），差異均有統計學意義（χ2＝0．035，P ＜0．05）。結論小切口改良術治療老年甲狀腺癌患者具有更好的療效，且患者併髮癥少，明顯提升其生活質量，在臨床上值得推廣應用。
목적：비교불동적갑상선절제술대노년갑상선암환자술후생활질량적영향。방법선택노년갑상선암환자56례，근거수술방식적불동장환자분위관찰조25례조화대조조31례，기중관찰조환자접수소절구개량술치료，대조조환자접수상규갑상선절제술치료。기록화비교량조환자적수술시간、술중출혈량、술중수혈량、술후인류량、주원시간、치료후1개월후적병발증정황이급 VAS 동통평분화 SF-36생활질량평분，병진행통계분석。결과관찰조적수술시간、술중출혈량、술중수혈량、술후인류량이급주원시간명현저우대조조，차이균유통계학의의（t ＝3．568、2．139、6．368、3．716、3．569，균 P ＜0．05）；관찰조적 VAS 평분화 SF-36평분분별위（2．02±0．25）분화（77．21±8．13）분，명현우우대조조적（2．61±0．29）분화（43．46±5．63）분，차이균유통계학의의（t ＝3．867、4．568，균 P ＜0．05）；관찰조화대조조적병발증총발생솔분별위16．0％（4／25）화35．5％（11／31），차이균유통계학의의（χ2＝0．035，P ＜0．05）。결론소절구개량술치료노년갑상선암환자구유경호적료효，차환자병발증소，명현제승기생활질량，재림상상치득추엄응용。
Objective To compare the efficacy of different thyroidectomy surgery on postoperative quality of life in elderly patients with thyroid cancer.Methods 56 patients with thyroid cancer in the hospital from August 2011 to October 2014 were selected,and they were divided into observation group and control group according to the different methods of treatment.Patients in the observation group accepted small incision improvement while the control group accepted conventional thyroidectomy.The operation time,intra -operative blood loss,intra -operative blood transfusion,postoperative drainage,length of hospitalization period,complications occurring,VAS pain score and SF -36 score 1 month after treatment in two groups were recorded for statistical analysis.Results In the observation group,the operation time,intra -operative blood loss,intra -operative blood transfusion,postoperative drainage,length of hospitalization period were obviously lower than these in the control group,the difference was statistically significant (t =3.568,2.139,6.368,3.716,3.569,all P <0.05).The VAS pain score and SF -36 score in the observation group of (2.02 ±0.25)points and (77.21 ±8.13)points were obviously higher than these in the control group of (2.61 ±0.29)points and (43.46 ±5.63)points,the difference was statistically significant (t =3.867,4.568,all P <0.05).The rates of postoperative complication in the control group and the observation group were respectively 16.0% (4 /25 )and 35.5% (11 /31 ),the difference was statistically significant (χ2 =0.035,P <0.05 ). Conclusion Small incision improvement has a better curative effect with fewer complications and can improve quality of life for patients with thyroid cancer,thus it's worth popularization and application in clinic.
