【摘要】：目的探討雙側結節(jié)性甲狀腺腫采用甲狀腺次全切除術治療的臨床效果。方法所選病例為2015年7月-2016年7月本院收治的雙側結節(jié)性甲狀腺腫患者,共76例。采用回顧性分析的方法,對其一般資料進行調查。所有患者及家屬均對本研究知情同意,并自愿簽署知情同意書。按照隨機數(shù)字表法,將76例患者分為研究組(甲狀腺次全切除術)與對照組(甲狀腺全切術)。治療后隨訪6個月,對比兩組手術時間、住院時間、術中出血量及術后并發(fā)癥發(fā)生情況。結果兩組手術時間、住院時間對比,結果有統(tǒng)計學意義(P0.05),但術中出血量對比,結果無統(tǒng)計學意義(P0.05);研究組、對照組術后并發(fā)癥發(fā)生率分別為5.3%(2/38)、21.1%(8/38),結果有統(tǒng)計學意義(P0.05);研究組、對照組患者復發(fā)率分別為0.0%(0/38)、10.5%(4/38),結果有統(tǒng)計學意義(P0.05)。結論在雙側結節(jié)性甲狀腺腫患者的臨床治療過程中,對其實施甲狀腺次全切除術進行治療,能獲得較好的臨床效果,且能減少并發(fā)癥的發(fā)生,控制術后復發(fā)率,值得進行深入研究和推廣。
[Abstract]:Objective to investigate the clinical effect of subtotal thyroidectomy for bilateral nodular goiter. Methods from July 2015 to July 2016, 76 patients with bilateral nodular goiter were selected. The general data were investigated by retrospective analysis. All patients and their families had informed consent to this study and signed informed consent voluntarily. According to the random digital table method, 76 patients were divided into study group (subtotal thyroidectomy) and control group (total thyroidectomy). The patients were followed up for 6 months after treatment. The operation time, hospitalization time, intraoperative blood loss and postoperative complications were compared between the two groups. Results there was significant difference in operation time and hospitalization time between the two groups (P 0.05), but there was no significant difference in the amount of bleeding during operation (P 0.05). The incidence of postoperative complications in the study group and the control group was 5.3% (2 鈮，

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