甲状腺次全切除术治疗结节性甲状腺肿的临床研究

目的：探讨甲状腺次全切除术治疗结节性甲状腺肿的临床疗效。方法：选取2010年1月一2012年1月本院收治的结节性甲状腺肿患者80例，其中行甲状腺次全切除术的患者40例设立为I组，行甲状腺全切术的患者加例设立为Ⅱ组。比较两组的手术时间、术中出血量及住院时间；比较两组临床疗效、术后发生感染、声音嘶哑、四肢麻木或抽搐、甲状腺功能减退等并发症情况。结果：I组的手术时间、住院时间均短于Ⅱ组，差异有统计学意义（P〈0．05）；I组的术中出血量明显少于Ⅱ组，差异有统计学意义（P〈0．05）；I组的总有效率达95％，明显高于Ⅱ的75％，两组疗效比较差异具有统计学意义（χ2=6．386，P〈0．05）；I组的并发症发生率为5％，明显低于Ⅱ组的20％，差异有统计学意义（χ2=11．723，P〈0．05）。结论：甲状腺次全切除术治疗结节性甲状腺肿疗效确切，术中出血少、并发症少，值得推广和应用。

Clinical Research on Total Resection of Thyroid Times Treatment for Nodular Goiter

Objective： To investigate the clinical efficacy of resection of thyroid nodular goiter treatment times. Method： 80 patients with nodular goiter were selected in our hospital from January 2010 to January 2012, 40 cases used subtotal thyreidectomy surgery were set up group I , and the other 40 cases with nodular goiter trekking total thyroidectomy were set up group Ⅱ . The average operative time, the average blood loss, hospital stay were compared. And postoperative infection, hoarseness, numbness or seizures, thyroid dysfunction and other complications were also compared. Result： The operative time, length of hospital stay of the group I were shorter than the group Ⅱ, the differences were significant （ P〈0.05 ） ; blood loss in the group I was significantly less than the group Ⅱ , the difference was statistically significant （ P〈0.05 ） . The total effective rate of the group I was 95%, was significantly higher than the group Ⅱ , the difference was significant （X2=6.386, P〈0.05 ） . The complications total incidence of the group I was 5%, was significantly lower than the group Ⅱ, the difference was significant （X2= 11.723, P〈0.05 ） . Conclusion： Subtotal resection of the thyroid nodular goiter efficacy, less blood loss, fewer complications, worthy of promotion and application.