甲状腺全切除术治疗双侧结节性甲状腺肿的临床疗效观察

目的探讨甲状腺全切除术治疗双侧结节性甲状腺肿的临床疗效。方法将94例双侧结节性甲状腺肿患者随机分为甲状腺全切手术治疗组（观察组）和甲状腺次全切手术治疗组（对照组）,每组各47例,观察两组患者的手术时间、住院时间、术后并发症及复发情况。结果观察组患者的手术时间长于对照组患者,差异有统计学意义（P〈0.05）,两组患者住院时间及术后并发症方面的差异未见统计学意义（P〉0.05）。术后随访6个月,观察组无复发病例,对照组6例复发,复发率为12.8%,术后复发率组间差异有统计学意义（P〉0.05）。结论采用甲状腺全切术治疗双侧结节性甲状腺肿临床疗效好,术后并发症发生率及复发率低,是一种安全有效的治疗方式,值得临床进一步推广使用。

Clinical effect observation of total thyroidectomy for bilateral nodular goiter.

Objective To explore the clinical effect of total thyroidectomy for bilateral nodular goiter. Methods 94 cases of bilateral nodular goiter were randomly divided into total thyroidectomy operation treatment group （observation group） and subtotal thyroidectomy operation treatment group （control group）,47 cases in each group,observed the operation time,hospitalization time,postoperative complications and recurrence condition of patients in two groups. Results The operation time of patients in observation groups was longer than that in control group,the difference was statistically significant （P 0.05）,the difference of hospital stay and complications between two groups were no significant difference （P 0.05）. During the follow-up period of 6 months,no recurrent cases in observation group,6 cases of recurrence in control group,the recurrence rate was 12. 8% ,there was statistical significance between two groups （P 0.05）. Conclusion Taking total thyroidectomy for the treatment of bilateral nodular goiter has good clinical curative effect,complications and recurrence rate is low,it is a safe and effective treatment,worthy of further clinical application.