甲状腺全切术治疗原发性甲状腺功能亢进疗效及对患者心脏功能和肝功能的影响.docVIP

精品论文 参考文献 甲状腺全切术治疗原发性甲状腺功能亢进疗效及对患者心脏功能和肝功能的影响 周韦华 　　（成都市蒲江县蒲江县人民医院普外科 611630） 　　【摘要】 目的：探讨甲状腺全切术治疗原发性甲亢的疗效及对心功能和肝功能的影响；方法将100例原发性甲亢患者随机分为研究组、对照组各50例，分别行甲状腺全切术和甲状腺次全切术，评价两组手术疗效和心、肝功能指标变化，随访1年，比较复发率；结果：对照组中发生短暂性甲状腺功能减退21例，优于研究组（P＜0.05），但研究组未出现复发患者，明显优于对照组（P＜0.05）。研究组术中出血量和手术时间均明显少于对照组（P＜0.05）。术后，两组心功能组间比较，研究组改善程度均明显优于对照组（P＜0.05）；两组患者术后肝功能各项指标组间比较，研究组改善程度均明显优于对照组（P＜0.05）。随访1年，研究组患者无甲亢复发病例；结论：综上所述，甲状腺全切术治疗原发性甲亢疗效确切，甲亢复发率低，并可以显著改善心脏功能和肝功能，安全有效，优于甲状腺次全切术。 　　【关键词】原发性甲状腺功能亢进症；甲状腺全切术；甲状腺次全切术；心功能；肝功能 　　【中图分类号】R615 【文献标识码】A 【文章编号】2095-1752（2015）30-0014-02 　　For the treatment of thyroid full cut of primary thyroid function hyperfunction curative effect and its influence on patients with cardiac function and liver function 　　Zhou Weihua. The Peoples Hospital of Pujiang County, Sichuan Province, Chengdu 611630.China 　　【Abstract】Objective To explore the full cut method curative effect of treatment for primary hyperthyroidism thyroid, and effects on cardiac function and liver function. Methods 100 cases of primary hyperthyroidism patients were randomly divided into research group and the control group, 50 cases of thyroid full cut method respectively and thyroid full cut method, evaluating the effect of two groups of surgery and heart, liver function index changes, followed up for 1 year, compare the recurrence rate. Results In transient hypothyroidism 21 cases in the control group, is better than that of group (P lt; 0.05), but the team did not appear a relapse patients, significantly better than the control group (P lt; 0.05). Team intraoperative blood loss and operation time were significantly less than the control group (P lt; 0.05). Postoperatively, the comparison between the two groups of cardiac function groups, improved group were significantly better than that of control group (P lt; 0.05); Comparison between the two group patients postoperative liver function indicators, improved group were significantly better than that of cont