中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
29期
92-93,96
,共3页
全切术%次全切除术%甲状腺良性占位病变%术后并发症
全切術%次全切除術%甲狀腺良性佔位病變%術後併髮癥
전절술%차전절제술%갑상선량성점위병변%술후병발증
Total thyroidectomy%Subtotal thyroidectomy%Benign thyroid lesions%Postoperative complications
目的：探讨甲状腺全切术和次全切除术治疗甲状腺良性占位病变术后并发症。方法整群选取该院2012年1月—2014年12月收治的128例甲状腺良性占位患者随机分为两组。试验组64例行甲状腺全切术，对照组64例行次全切除术。比较两组术后并发症及复发率的差异。同时评价患者治疗满意度方面的情况。结果试验组术后并发症（喉返神经损伤、甲状旁腺功能降低、呼吸困难及喉上神经损伤）发生率为17.7%明显高于对照组4.8%，比较有统计学差异(P＜0.05)；试验组术后复发率为1.6%稍低于对照组6.5%，比较差异无统计学意义(P>0.05)；试验组治疗满意率为83.9%显著低于对照组96.8%，比较差异有统计学意义（P<0.05）。结论甲状腺全切术及次全切除治疗效果良好，次全切除术具有较少的并发症，复发率也较低，患者治疗满意度也较高，进而提高其生活质量及治疗依从性，值得临床选择。
目的：探討甲狀腺全切術和次全切除術治療甲狀腺良性佔位病變術後併髮癥。方法整群選取該院2012年1月—2014年12月收治的128例甲狀腺良性佔位患者隨機分為兩組。試驗組64例行甲狀腺全切術，對照組64例行次全切除術。比較兩組術後併髮癥及複髮率的差異。同時評價患者治療滿意度方麵的情況。結果試驗組術後併髮癥（喉返神經損傷、甲狀徬腺功能降低、呼吸睏難及喉上神經損傷）髮生率為17.7%明顯高于對照組4.8%，比較有統計學差異(P＜0.05)；試驗組術後複髮率為1.6%稍低于對照組6.5%，比較差異無統計學意義(P>0.05)；試驗組治療滿意率為83.9%顯著低于對照組96.8%，比較差異有統計學意義（P<0.05）。結論甲狀腺全切術及次全切除治療效果良好，次全切除術具有較少的併髮癥，複髮率也較低，患者治療滿意度也較高，進而提高其生活質量及治療依從性，值得臨床選擇。
목적：탐토갑상선전절술화차전절제술치료갑상선량성점위병변술후병발증。방법정군선취해원2012년1월—2014년12월수치적128례갑상선량성점위환자수궤분위량조。시험조64례행갑상선전절술，대조조64례행차전절제술。비교량조술후병발증급복발솔적차이。동시평개환자치료만의도방면적정황。결과시험조술후병발증（후반신경손상、갑상방선공능강저、호흡곤난급후상신경손상）발생솔위17.7%명현고우대조조4.8%，비교유통계학차이(P＜0.05)；시험조술후복발솔위1.6%초저우대조조6.5%，비교차이무통계학의의(P>0.05)；시험조치료만의솔위83.9%현저저우대조조96.8%，비교차이유통계학의의（P<0.05）。결론갑상선전절술급차전절제치료효과량호，차전절제술구유교소적병발증，복발솔야교저，환자치료만의도야교고，진이제고기생활질량급치료의종성，치득림상선택。
Objective To investigate the complications following total or subtotal thyroidectomy for thyroid benign space-oc-cupying lesions. Methods 128 cases of thyroid benign lesions in patients were randomly divided into two groups. In the ex-perimental group, 64 cases received total thyroidectomy, and 64 cases in the control group underwent subtotal thyroidecto-my. The postoperative complications and recurrence rate were compared between the two groups. At the same time, the evaluation of patients' satisfaction was done. Results The rate postoperative complication, including recurrent laryngeal nerve injury, hypoparathyroidism, dyspnea and superior laryngeal nerve injury, were 17.7% in the experimental group, sig-nificantly higher than that in the control group 4.8%, and the difference was statistically significant, P<0.05. The recurrence rate was 1.6% in the experimental group, lower than that, 6.5%, in the control group, but there was no statistically signifi-cant difference between them, P>0.05. The satisfaction (83.9%vs 96.8%) was significantly lower in the treatment group than in the control group, and the difference was statistically significant, P<0.05. Conclusion Total and subtotal thyroidectomy can both bring good effect in the treatment of thyroid benign space-occupying lesions, but the latter is characterized by less complication, shorter recurrent rate, and higher satisfaction, which can improve patients' quality of life and compliance.
