CAJ | 학술논문

目的：比较分析甲状腺全切术和甲状腺患侧腺叶、峡部＋对侧次全切除术对分化型甲状腺癌的疗效。方法选取分化型甲状腺癌患者60例，按手术方式分为全切组30例（50．0％）和次全切组30例（50．0％）。比较患者一般资料、手术情况和并发症发生率差异。结果两组患者在术前一般资料、术中手术情况和低血钙、甲状旁腺损伤并发症的发生率情况等方面无明显差异，无统计学意义（P＞0．05）。暂时性喉返神经麻痹、永久性声音嘶哑、术后继发性出血、甲状腺功能低下这四种并发症的发生率比较差异显著，具有统计学意义（P＜0．05）。两组淋巴结转移发生率比较无统计学意义（P＞0．05）。局部复发和远处转移发生率具有统计学意义（P＜0．05）。结论临床上治疗分化型甲状腺癌时应根据具体情况合理选择术式。
목적：비교분석갑상선전절술화갑상선환측선협、협부＋대측차전절제술대분화형갑상선암적료효。방법선취분화형갑상선암환자60례，안수술방식분위전절조30례（50．0％）화차전절조30례（50．0％）。비교환자일반자료、수술정황화병발증발생솔차이。결과량조환자재술전일반자료、술중수술정황화저혈개、갑상방선손상병발증적발생솔정황등방면무명현차이，무통계학의의（P＞0．05）。잠시성후반신경마비、영구성성음시아、술후계발성출혈、갑상선공능저하저사충병발증적발생솔비교차이현저，구유통계학의의（P＜0．05）。량조림파결전이발생솔비교무통계학의의（P＞0．05）。국부복발화원처전이발생솔구유통계학의의（P＜0．05）。결론림상상치료분화형갑상선암시응근거구체정황합리선택술식。
Objective To analyze the efficacy of total thyroidectomy and ipsilateral thyroid gland ,isthmus +contra lat-eral subtotal resection for differentiated thyroid cancer .Methods 60 cases of patients with differentiated thyroid cancer were di-vided into total resection group and subtotal group ,each with 30 patients.General information,surgical conditions AND complica-tion rate between the 2 groups were compared .Results There had no significant difference in general information before surgery , intraoperative surgical conditions and Low blood calcium ,parathyroid injury ,incidence of complications between the 2 groups ( P>0.05).There had significant difference in temporary permanent hoarseness ,laryngeal recurrent nerve paralysis,secondary bleeding after surgery and low thyroid function between the 2 groups (P<0.05).The incidence of lymph node metastasis between the 2 groups had no statistical difference (P>0.05).The incidence of local recurrence and distant metastasis between the 2 groups had statistical difference (P<0.05).Conclusion Treatment should be selected according to specific conditions for dif-ferentiated thyroid carcinoma .