摘要
目的:观察改良甲状腺根治术治疗甲状腺癌的效果。方法:选取2018年1月-2019年1月笔者所在医院收治的58例甲状腺癌患者作为研究对象,按照随机数字表法分为观察组与对照组,各29例。对照组采用标准甲状腺根治术,观察组采用改良甲状腺根治术。比较两组手术指标、术后并发症情况及远期疗效。结果:观察组术后引流时间、住院时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);观察组术后并发症发生率为6.9%,低于对照组的27.6%,差异有统计学意义(P<0.05);观察组局部复发率为6.9%,低于对照组的20.7%,1年生存率为96.6%,高于对照组的75.9%,差异均有统计学意义(P<0.05)。结论:改良甲状腺根治术治疗甲状腺癌具有创伤小、术后恢复快,远期疗效显著、并发症少的特点,可予以推广。
Objective:To observe the effect of modified radical thyroidectomy on thyroid cancer.Method:A total of 58 patients with thyroid cancer admitted to our hospital from January 2018 to January 2019 were selected as the research objects.According to the random number table method,they were divided into the observation group and the control group,29 cases in each group.The control group was treated with standard radical thyroidectomy,and the observation group was treated with modified radical thyroidectomy.The operation indexes,postoperative complications and long-term effect of the two groups were compared.Result:The postoperative drainage time and hospitalization time of the observation group were shorter than those of the control group,and the amount of bleeding in the operation was less than that of the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 6.9%,which was lower than 27.6%of the control group,and the difference was statistically significant(P<0.05).The local recurrence rate in the observation group was 6.9%,which was lower than 20.7%of the control group,and the 1-year survival rate was 96.6%,which was higher than 75.9%of the control group,and the differences were statistically significant(P<0.05).Conclusion:Modified radical thyroidectomy for thyroid cancer has the advantages of small trauma,quick postoperative recovery,significant long-term effect and few complications,which can be popularized.
作者
吴健华
胡长贤
刘以举
WU Jianhua;HU Changxian;LIU Yiju(Yangxi County People’s Hospital,Yangxi 529800,China;不详)
出处
《中外医学研究》
2020年第23期123-125,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
甲状腺癌
改良甲状腺根治术
并发症
复发率
术中出血量
Thyroid cancer
Modified radical thyroidectomy
Complications
Recurrence
rate Amount of bleeding in the operation
