甲状腺全切术治疗多发性结节性甲状腺肿的效果分析

徐宝国，曹峻

（新疆医科大学第一附属医院，新疆维吾尔自治区 乌鲁木齐，830054）

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摘要：

目的 探讨甲状腺全切术治疗多发性结节性甲状腺肿的效果。方法 选取2015年1月至2016年1月我院收治的多发性结节性甲状腺肿患者120例为研究对象，根据患者手术治疗方法将其分为次全组（n=60）和全切组（n=60），次全组患者进行甲状腺次全切除术治疗，全切组患者进行甲状腺全切术治疗，比较两组患者的治疗效果及复发状况。结果 全切组患者手术 时间、术中出血量与次全组比较无明显差异（P>0.05）；全切组患者住院时间明显短于次全组（P<0.05）；两组患者术后疼痛评分比较无明显差异（P>0.05）。全切组患者术后并发症发生率为5.0%，明显低于次全组的20.0%（P<0.05）；全切组患者术后6个月复发率为1.7%，明显低于次全组的15.0%（P<0.05）。结论 甲状腺全切术治疗多发性结节性甲状腺肿的效果显著，可有效减少患者术后并发症发生率及复发率，促进患者术后早日康复，可在临床推广运用。

关键词：甲状腺全切术；多发性结节性甲状腺肿；甲状腺次全切除术

中图分类号：R653文献标志码：A文章编号：2096-1413(2017)06-0094-02

Effect analysis of total thyroidectomy in the treatment of multiple nodular goiter
XU Bao-guo, CAO Jun
(the First Affiliated Hospital of Xinjiang Medical University, Urumchi 830054, China)

ABSTRACT: Objective To investigate the effect of total thyroidectomy in the treatment of multiple nodular goiter. Methods One hundred and twenty cases of patients with multiple nodular goiter admitted in our hospital from January 2015 to January 2016 were selected as the research objects. All the patients were divided into subtotal thyroidectomy group (n=60) and total thyroidectomy group (n=60) according to different surgical methods. The subtotal thyroidectomy group accepted subtotal thyroidectomy, and the total thyroidectomy group received total thyroidectomy. The clinical effects and recurrences of the two groups were compared. Results The operation time, intraoperative blood loss of the two groups had no significant difference (P>0.05). The hospital stay of the total thyroidectomy group was shorter than that of the subtotal thyroidectomy group (P<0.05). There was no statistical difference in postoperative pain score between the two groups (P>0.05). The incidence rate of complications of the total thyroidectomy group was 5.0%, which was lower than 20.0% of the subtotal thyroidectomy group (P<0.05); the recurrence rate of adverse reactions of the total thyroidectomy group was 1.7%, which was lower than 15.0% of the subtotal thyroidectomy group (P<0.05). Conclusion Total thyroidectomy in the treatment of multiple nodular goiter has significant clinical effect, which can effectively reduce the incidence rate of postoperative complications and the recurrence rate and promote patients' postoperative recover. It can be popularized in clinical use. KEYWORDS: total thyroidectomy; multiple nodular goiter; subtotal thyroidectomy

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