CAJ | 학술논문

目的：探讨甲状腺单发肿瘤腺叶切除的方法和治疗效果。方法选取2010年10月—2013年10月，在该院进行甲状腺单发肿瘤治疗的患者80例，作为该研究的对象，将其平均分为对照组和观察组，对照组采用甲状腺叶次全切除术，观察组采用甲状腺腺叶切除术。对两组患者在两种手术治疗方法下产生的手术时间、出血量、并发症以及治疗效果进行对比分析。结果手术结束后两组患者的病情均处于稳定的状态，观察组患者的手术时间和手术中的出血量明显的小于对照组，差异有统计学意义(P＜0.05)。观察组和对照组甲状腺肿瘤患者的术后并发症发生率分别为15.0%、57.5%，差异有统计学意义（P＜0.05）。结论甲状腺腺叶切除手术可以降低患者的的手术时间和术中出血量，有效的改善患者的术后并发症发生率，值得推广。
목적：탐토갑상선단발종류선협절제적방법화치료효과。방법선취2010년10월—2013년10월，재해원진행갑상선단발종류치료적환자80례，작위해연구적대상，장기평균분위대조조화관찰조，대조조채용갑상선협차전절제술，관찰조채용갑상선선협절제술。대량조환자재량충수술치료방법하산생적수술시간、출혈량、병발증이급치료효과진행대비분석。결과수술결속후량조환자적병정균처우은정적상태，관찰조환자적수술시간화수술중적출혈량명현적소우대조조，차이유통계학의의(P＜0.05)。관찰조화대조조갑상선종류환자적술후병발증발생솔분별위15.0%、57.5%，차이유통계학의의（P＜0.05）。결론갑상선선협절제수술가이강저환자적적수술시간화술중출혈량，유효적개선환자적술후병발증발생솔，치득추엄。
Objective To study the methods of single thyroid tumor lobectomy and the treatment effect. Methods 80 cases with single thyroid tumor treated in our hospital from October 2010 to October 2013 were selected as the subjects of this study and divided into the control group and the observation group equally. The control group was given subtotal lobectomy of thyroid, while the observation group was given thyroid lobectomy. The duration of operation, the blood loss, complications, and treatment effect of the two groups were compared and analyzed. Results After operation, both groups of patients were in stable condition. The duration of operation and intraoperative blood loss of the observation group were significantly less than those of the control group with significant differences, P<0.05. The incidence of postoperative complications of the observation group and the control group was 15.0%, 57.5%, respectively, the difference was statistically significant, P<0.05. Conclusion Thyroid lobectomy can reduce the duration of operation and intraoperative blood loss, effectively improve the incidence of postoperative complications, which is worthy of promotion.