摘要
目的探讨不同甲状腺术式对术后甲状腺激素水平的影响及临床应用价值。方法回顾性分析本院收治的80例双侧多发甲状腺肿瘤患者的临床资料,其中单纯腺瘤切除术(A组)24例,单侧腺叶切除术+对侧腺瘤切除术(B组)20例,双侧次全切除术(C组)19例,全切除术(D组)17例。比较各组术后甲状腺激素、皮质醇及血钙水平的变化,以及术后6个月超声复查结果。结果与术前相比,B、C组术后1个月的甲状腺激素水平有显著下降,术后3个月恢复正常;D组术后1个月、3个月甲状腺激素水平均显著下降,术后6个月内恢复正常,术后血钙水平短暂下降,但均在2周内恢复。术后6个月,A、B、C组超声复查均有部分阳性病例,而D组未见阳性病例。结论甲状腺全切除术患者术后恢复效果满意,且术后甲状腺激素水平、血钙水平异常均可调整恢复,值得推广。
Objective To explore the influence of different thyroid surgery methods on level of postoperative thyroid hormone and its clinical application value. Methods Clinical materials of 80 patients with bilateral multiple thyroid tumor were analyzed retrospectively. 24 cases were treat- ed with simple adenoma resection （group A）, 20 cases received unilateral lobectomy plus contralat- eral adenoma resection （group B）, 19 cases received bilateral subtotal resection （group C） and 17 cases received total resection （group D）. The changes of thyroid hormone, cortisol, serum calcium and ultrasonic review results 6 months after operation were compared. Results Compared with the pre - operation, the thyroid hormone levels in group B and C 1 month after operation decreased ob- viously, and returned to normal level 3 months after operation. The thyroid hormone levels in group D 1 and 3 months after operation decreased obviously, and returned to normal level 6 months after operation. The serum calcium levels in group D transiently decreased, but returned to normal within 2 weeks. 6 months after operation, group A, B and C had some positive cases by ultrasonic review, while group D was normal. Conclusion Patients with total thyroidectomy recover well, and their postoperative levels of thyroid hormone and serum calcium can be regulated, so it is worthy of fur- ther popularization.
出处
《实用临床医药杂志》
CAS
2012年第23期76-78,共3页
Journal of Clinical Medicine in Practice
