甲状腺腺叶全切术与次全切除术治疗甲状腺结节对患者甲状腺功能的.docVIP

甲状腺腺叶全切术与次全切除术治疗甲状腺结节对患者甲状腺功能的影响 李晓旭 (商丘市第一人民医院甲状乳腺外科 河南商丘 476100) [摘要] 目的:探讨甲状腺腺叶全切术与次全切除术治疗甲状腺结节对患者甲状腺功能的影响。方法:选择商丘市第一人民医院甲状乳腺外科收治的50例单侧甲状腺结节患者作为研究对象，随机分为观察组与对照组，各25例。对照组行甲状腺次全切术，观察组采用甲状腺腺叶全切术，比较两组临床指标与并发症。结果:与对照组相比，观察组住院时间短，术中出血量少，差异有统计学意义（P＜0.05）；对照组并发症发生率为40.00%，显著高于观察组的8.00%，差异有统计学意义（P＜0.05）。结论:与甲状腺次全切除术治疗甲状腺结节相比，甲状腺腺叶切除术效果更佳，创伤小、并发症少，利于患者术后恢复，值得临床广泛应用。 [关键词] 甲状腺腺叶全切术；甲状腺腺叶次全切术；甲状腺结节；甲状腺功能 Effect of total thyroidectomy and subtotal thyroidectomy on thyroid function in patients with thyroid nodule LI Xiao-xu (Department of Thyroid Surgery, Shangqiu First Peoples Hospital, Shangqiu 476100, China) [Abstract] Objective: To investigate the effect of total thyroid lobectomy and subtotal thyroidectomy on thyroid function in patients with thyroid nodules. Methods: Fifty patients with unilateral thyroid nodules were selected and divided into observation group and control group randomly, 25 cases in each group. Thyroid lobectomy was performed in the control group. The clinical parameters and complication were compared between the two groups. The incidence of complications in the control group was 40.00%, which was significantly higher than that in the observation group (8.00%). The incidence of complications in the observation group was significantly lower than that in the observation group (P 0.05) The difference was statistically significant (P 0.05). Conclusion: Compared with thyroid nodule subtotal thyroidectomy, thyroid lobectomy has better effect, less trauma and less complication, which is benefit for recovery of postoperative thyroid nodule. It is worthy to be widely used in clinic. [Key words] Thyroid lobectomy; Subtotal thyroidectomy; Thyroid nodule; Thyroid function 甲状腺结节为多发病，在外科临床较为常见，发病率高达50%以上，中年人群为本病的高发人群，且女性所占比例更大。甲状腺结节有良恶性之分，发病初期均为良性结节，且无明显的特异性表现，病情进展慢，极易被患者忽视而错过最佳的治疗时间[1]。若不及时控制病情，随着病症的迁移会出现甲亢症状，甚至发展成恶性肿瘤，危及患者生命。目前临床治疗最有效的方法即是采用手术切除病变部位，但因甲状腺解剖结构复杂，对术式要求较高，手术选择的不规范可导致肿瘤的恶化，引发并发症[2]。本研究旨在探讨甲状腺腺叶全切术与次全切除术治疗甲状腺结节对患者甲状腺功能的影响。报告如下。 1 资料与方法 1.1 一般资料 选择商丘市第一人