摘要
目的探讨甲状腺全切除和次全切除治疗甲状腺良性肿瘤的效果。方法选取本院的1863例甲状腺良性肿瘤患者作为研究对象,按照治疗方法分为A(963例)组和B组(900例)。A组采取甲状腺全切除术,B组采取甲状腺次全切除术,比较两组的并发症发生率和复发率。结果 A组的喉返神经损伤发生率为4.98%,显著高于B组的3.11%,差异有统计学意义(χ2=4.17,P=0.041);两组的甲状旁腺功能减退发生率比较,差异无统计学意义(χ2=1.04,P=0.31)。随访1年,A组的复发率为5.40%,显著低于B组的9.33%,差异有统计学意义(χ2=10.64,P=0.001)。结论甲状腺全切除术能够降低甲状腺良性肿瘤的术后复发率,值得临床推广应用。
Objective To explore the effect of total thyroidectomy and subtotal thyroidectomy in the treatment of benign tumor of thyroid. Methods 1863 cases with benign tumor of thyroid were selected and divided into group A （963 cases） and group B （900 cases） according to therapeutic method.Group A was treated with total thyroidectomy,group B was treated with subtotal thyroidectomy.The incidence of complications and recurrence rate in two groups was compared. Results The incidence of recurrent laryngeal nerve injury in group A was 4.98%,which was higher than 3.11%in group B,with significant difference （χ^2=4.17,P=0.041）.There was no significant difference of hypoparathyroidism incidence be-tween two groups （χ^2=1.04,P=0.31）.1 year follow-up,the recurrence rate of group A was 5.40%,which was lower than 9.33% in group B,with significant difference （χ^2=10.64,P=0.001）. Conclusion Total thyroidectomy can reduces the re-currence rate of benign tumor of thyroid,it is worthy of clinical promotion and application.
出处
《中国当代医药》
2015年第2期61-62,共2页
China Modern Medicine
