甲状腺全切除术治疗双侧结节性甲状腺肿的价值及临床意义

目的研究分析甲状腺全切除手术对双侧结节性甲状腺肿的治疗效果和临床意义。方法选取该院于2012年3月—2013年2月收治的48例双侧结节性甲状腺肿患者,随机将此48例分成甲状腺全切除术组和甲状腺次全切除术组,各24例。两组分别进行全切除与次全切除手术后,对比住院与手术时间,术后并发症发生情况以及术后复发率,从而分析两组患者治疗效果。结果两组患者治疗后,由临床资料中复发率的比较中可以得出,全切除术组的疗效优于次全切除术组,此对比差异有统计学意义（P〈0.05）。结论甲状腺全切除手术减少术后复发率方面比次全切除手术效果更显著,值得推广。

The Value and Clinical Significance of Total Thyroidectomy for Bilateral Nodular Goiter

Objective To study the treatment effect and clinical significance of total thyroidectomy for bilateral nodular goiter. Methods The 48 patients with bilateral nodular goiter admitted in our hospital during the period from March 2012 to February 2013 were selected and randomized into the total thyroidectomy group and subtotal thyroidectomy group with 24 patients in each. After the operation, the length of stay, operative time, postoperative complications and recurrence rate were compared between the two groups so as to analyze the treatment effect of the two groups. Results After treatment, it was showed by comparing the recur- rence rates in the clinical data of the two groups that the effect of total thyroidectomy group was better than that of the subtotal thyroidectomy group, the difference was statistically significant（P〈0.05）. Conclusion For patients with nodular goiter, the treatment effect of total thyroidectomy is more significant than that of subtotal thyroidectomy in terms of reducing the postoperative recurrence rate, which is worthy of promotion.