甲状腺次全切术结合海藻玉壶汤治疗结节性甲状腺肿患者的效果观察

目的探讨甲状腺次全切术结合海藻玉壶汤治疗结节性甲状腺肿的临床疗效。方法 80例结节性甲状腺肿患者随机分为两组各40例,观察组给予甲状腺次全切术结合海藻玉壶汤治疗,对照组给予甲状腺次全切除术治疗,比较两组的治疗效果。结果观察组的治疗总有效率显著高于对照组(97.50%vs. 82.50%, P<0.05)。治疗后,观察组的TSH、FT3、FT4水平均显著优于对照组(P<0.05)。术后半年,观察组的复发率显著低于对照组(0.00%vs. 12.50%, P<0.05)。结论甲状腺次全切术结合海藻玉壶汤治疗结节性甲状腺肿具有显著的临床疗效,可改善甲状腺激素水平,降低复发率。

Observation on the Effect of Subtotal Thyroidectomy Combined with Haizao Yuhu Decoction for the Treatment of Patients with Nodular Goiter

Objective To explore the clinical efficacy of subtotal thyroidectomy combined with Haizao Yuhu Decoction for the treatment of patients with nodular goiter.Methods 80 patients with nodular goiter were randomly divided into two groups, with 40 cases in each group. The observation group was treated with subtotal thyroidectomy combined with Haizao Yuhu Decoction, and the control group was treated with subtotal thyroidectomy. The curative effects of two groups were compared.Results The total effective rate of treatment of observation group was significantly higher than that of control group(97.50% vs. 82.50%, P<0.05). After treatment, the levels of TSH, FT3 and FT4 of observation group were significantly better than those of control group(P<0.05). 6 months after surgery, the recurrence rate of observation group was significantly lower than that of control group(0.00% vs. 12.50%, P<0.05). Conclusions Subtotal thyroidectomy combined with Haizao Yuhu Decoction for the treatment of nodular goiter has significant efficacy, which can improve the levels of thyroid hormones, and reduce the recurrence rate.