两种不同术式治疗结节性甲状腺肿的近期疗效比较

目的观察两种不同术式治疗结节性甲状腺肿的近期疗效。方法回顾性分析2005年1月～2011年1月收治确诊为结节性甲状腺肿并行甲状腺次全切除术的患者200例，其中2005年1月-2008年1月行甲状腺被膜外次全切除手术100例（被膜外组），2009年1月～2011年1月行甲状腺被膜内次全切除手术100例（被膜内组）。对比观察两组患者术后一周内的并发症发生情况。结果被膜内组患者术后发生声音嘶哑、饮水呛咳及手足抽搐等总并发症发生率显著低于被膜外组（P〈0．05）。两组上述单项并发症发生率比较差异无统计学意义（P〉0．05）。结论甲状腺被膜内次全切除术是治疗结节性甲状腺肿的首选术式。

Comparative efficacy of two different surgical treatment on nodular goiter of the short-term

Objective To observe the short-term results of two different surgical treatment on nodular goiter. Methods A retrospective analysis from 2005 January to 2011 January were diagnosed as nodular goiter parallel 200 patients subtotal thyroidectomy, which from 2005 January to 2008 January thyroid were epidural subtotal resection operation in 100 cases （outside the capsule Group）, from 2009 January to 2011 January were membrane thyroid subtotal resection operation in 100 cases （membrane subtotal thyroid resection Group）, compare two groups of patients with complications within one week after the situation. Results The membrane subtotal thyroid resection group of patients postoperative hoarseness, bucking and tetany, the total complication rate was significantly lower than by outside the capsule group （P 〈 0.05）. Two groups of the single complication rate had no significant difference （P 〉 0.05）. Conclusion The membrane subtotal thyroid resection is the preferred surgical treatment of nodular goiter.