甲状腺腺叶全切术治疗甲状腺结节的可行性及对甲状腺功能的影响研究(1)
摘 要：目的 探讨甲状腺结节采取甲状腺腺叶全切术治疗的临床应用效果及对甲状腺功能的影响。方法 将2017年2月～2018年2月在我院接受治疗的60例甲状腺结节患者作为研究对象，采用甲状腺腺叶次全切除术治疗的30例作为对照组，采用甲状腺腺叶全切术治疗的30例作为研究组，将两组患者术中出血量、手术时间、住院时间、并发症发生情况以及干预前后甲状腺功能指标进行比较。结果 研究组术中出血量为(39.79±8.73)ml，少于对照组的(132.28±8.41)ml，手术时间和住院时间均短于对照组，差异均具有统计学意义(P<0.05)。研究组并发症发生率为10.00%，低于对照组的40.00%，差异具有统计学意义(P<0.05)。干预前研究组FT3、FT4与对照组比较，差异无统计学意义(P>0.05)，干预后研究组FT3、FT4低于对照组，差异具有统计学意义(P<0.05)。结论 甲状腺腺叶全切术治疗甲状腺结节对患者损伤小，术后恢复快，并发症发生率低，甲状腺生理功能相对减弱。
关键词：甲状腺结节；甲状腺腺叶次全切除术；甲状腺腺叶全切术；甲状腺功能
, http://www.100md.com
中图分类号：R653 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.11.030
文章编号：1006-1959(2018)11-0099-03
Study on the Feasibility of Total Thyroidectomy in the Treatment of Thyroid Nodule and its Effect on Thyroid Function
YUAN Jian-hua
(Department of General Surgery，Hanyang Hospital Affiliated to Wuhan University of Science and Technology，Wuhan 430051，Hubei，China)
, 百拇医药
Abstract：Objective To investigate the clinical effect of thyroid nodule treated with total thyroidectomy and its effect on thyroid function.Methods From February 2017 to February 2018，60 patients with thyroid nodules received treatment in our hospital，30 patients treated with subtotal thyroidectomy as control group and 30 patients treated with total thyroidectomy as study group.The amount of intraoperative bleeding， operation time，hospital stay，complications and thyroid function before and after intervention were compared between the two groups.Results The blood loss in the study group was(39.79±8.73)ml，which was less than that of the control group(132.28±8.41)ml.The operation time and length of stay were shorter than those in the control group，and the difference was statistically significant(P<0.05).The complication rate in the study group was 10.00%，which was lower than the 40.00%in the control group，the difference was statistically significant(P<0.05).Before the intervention，there was no significant difference between the study group FT3and FT4and the control group(P>0.05).After the intervention，the study group had lower FT3and FT4than the control group，and the difference was statistically significant(P<0.05).Conclusion Total thyroidectomy for thyroid nodule has little damage to patients，quick recovery after operation，low complication rate and relatively low physiological function of thyroid gland.
, 百拇医药
Key words：Thyroid nodule；Subtotal thyroidectomy；Total thyroidectomy；Thyroid function
甲狀腺结节(thyroid nodule)是临床中一种普遍疾病，好发于女性，如果没有给予及时治疗，患者可能出现呼吸不畅，吞咽困难、声音嘶哑等情况，临床中治疗甲状腺结节一般采用外科手术治疗。其手术方式很多，不同的术式具有不同的临床疗效，对甲状腺功能的影响也不同[1]。甲状腺腺叶全切术和甲状腺腺叶次全切除术是临床中常见的治疗甲状腺结节的方式，不同的手术方式临床疗效不同，对甲状腺生理功能的影响也不同。本文旨在探讨甲状腺腺叶全切术及甲状腺腺叶次全切除术治疗甲状腺结节的临床应用价值及对甲状腺功能的影响，结果如下。, 百拇医药(袁建华)
关键词：甲状腺结节；甲状腺腺叶次全切除术；甲状腺腺叶全切术；甲状腺功能
, http://www.100md.com
中图分类号：R653 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.11.030
文章编号：1006-1959(2018)11-0099-03
Study on the Feasibility of Total Thyroidectomy in the Treatment of Thyroid Nodule and its Effect on Thyroid Function
YUAN Jian-hua
(Department of General Surgery，Hanyang Hospital Affiliated to Wuhan University of Science and Technology，Wuhan 430051，Hubei，China)
, 百拇医药
Abstract：Objective To investigate the clinical effect of thyroid nodule treated with total thyroidectomy and its effect on thyroid function.Methods From February 2017 to February 2018，60 patients with thyroid nodules received treatment in our hospital，30 patients treated with subtotal thyroidectomy as control group and 30 patients treated with total thyroidectomy as study group.The amount of intraoperative bleeding， operation time，hospital stay，complications and thyroid function before and after intervention were compared between the two groups.Results The blood loss in the study group was(39.79±8.73)ml，which was less than that of the control group(132.28±8.41)ml.The operation time and length of stay were shorter than those in the control group，and the difference was statistically significant(P<0.05).The complication rate in the study group was 10.00%，which was lower than the 40.00%in the control group，the difference was statistically significant(P<0.05).Before the intervention，there was no significant difference between the study group FT3and FT4and the control group(P>0.05).After the intervention，the study group had lower FT3and FT4than the control group，and the difference was statistically significant(P<0.05).Conclusion Total thyroidectomy for thyroid nodule has little damage to patients，quick recovery after operation，low complication rate and relatively low physiological function of thyroid gland.
, 百拇医药
Key words：Thyroid nodule；Subtotal thyroidectomy；Total thyroidectomy；Thyroid function
甲狀腺结节(thyroid nodule)是临床中一种普遍疾病，好发于女性，如果没有给予及时治疗，患者可能出现呼吸不畅，吞咽困难、声音嘶哑等情况，临床中治疗甲状腺结节一般采用外科手术治疗。其手术方式很多，不同的术式具有不同的临床疗效，对甲状腺功能的影响也不同[1]。甲状腺腺叶全切术和甲状腺腺叶次全切除术是临床中常见的治疗甲状腺结节的方式，不同的手术方式临床疗效不同，对甲状腺生理功能的影响也不同。本文旨在探讨甲状腺腺叶全切术及甲状腺腺叶次全切除术治疗甲状腺结节的临床应用价值及对甲状腺功能的影响，结果如下。, 百拇医药(袁建华)