患侧甲状腺全切除峡部切除术式治疗甲状腺单侧结节的临床价值探究

1、本文格式为Word版，下载可任意编辑 患侧甲状腺全切除峡部切除术式治疗甲状腺单侧结节的临床价值探究 【摘要】 目的 探究甲状腺单侧结节行患侧甲状腺全切除及峡部切除术式联合治疗的临床价值。方法 94例甲状腺单侧结节患者作为研究对象， 根据手术方法不同分为研究组与对照组， 各47例。对照组患者行传统手术治疗， 研究组患者行患侧甲状腺全切除+峡部切除术式治疗， 对比两组疗效、并发症及复发状况。结果 研究组总有效率为95.74%， 明显高于对照组的78.72%， 差异具有统计学意义（P0.05）。研究组总并发症发生率为4.26%， 明显低于对照组的21.28%， 差异具有统计学意义（P0.05）。随访

2、3个月后， 研究组复发率为2.13%， 明显低于对照组的19.15%， 差异具有统计学意义（P0.05）。结论 患侧甲状腺全切除和峡部切除术式协同治疗可促进疗效提升， 且并发症发生率低， 可推广。【关键词】 甲状腺单侧结节;峡部切除术;患侧甲状腺全切除;疗效DOI：10.14163/ki.11-5547/r.2022.12.010【Abstract】 Objective To investigate the clinical value of total thyroidectomy of affected side combined with isthmectomy in the treatm

3、ent of unilateral thyroid nodules. Methods A total of 94 patients with unilateral thyroid nodules as study subjects were divided by different surgical methods into research group and control group， with 47 cases in each group. The control group received traditional surgical therapy， and the research

4、 group received total thyroidectomy of affected side + isthmectomy. Comparison were made on efficacy， complications and recurrence between the two groups. Results The research group had obviously higher total effective rate as 95.74% than 78.72% in the control group， and the difference was statistic

5、ally significant （P0.05）. The research group had obviously lower incidence of total complications as 4.26% than 21.28% in the control group， and the difference was statistically significant （P0.05）. After 3 months of follow-up， the research group had obviously lower recurrence rate as 2.13% than 19.

6、15% in the control group， and the difference was statistically significant （P0.05）. Conclusion Combined therapy of total thyroidectomy of affected side and isthmectomy can promote the efficacy with low incidence of complications， and it can be promoted.【Key words】 Unilateral thyroid nodules; Isthmec

7、tomy; Total thyroidectomy of affected side; Efficacy甲狀腺单侧结节为临床一种常见病， 一般为体检时发现， 无自觉病症， 且多发人群为中年女性。甲状腺单侧结节发生率占甲状腺结节疾病90%， 寻常为良性， 但约有5%显示为恶性病理1。目前， 临床常予以手术治疗， 但因甲状腺肿瘤源头具多中心特点， 采取传统手术切除治疗， 术后病变复发率较高， 影响患者预后。随着医疗技术水平提升， 甲状腺结节疾病研究深入， 患侧甲状腺全切除加峡部切除术治疗方式渐渐应用于临床， 但其手术疗效仍具争议性。本研究为明确峡部切除术+患侧甲状腺全切除用于甲状腺单侧结节治疗的效果， 本院针对性选取94例患者资料予以分析， 并报告如下。1 资料与方法1. 1 一般资料 选取2022年2月2022年8月收治的94例甲状腺单侧结节患者作为研究对象， 将临床资料完整、无认知功能障碍者纳入， 将并发血液系统疾病、肝肾功能严重障碍者排除。根据手术方法不同将患者分为研究组与对照组， 各47例。对照组男女比例2027;年龄3162岁， 平均年龄（46.7513.19）岁;体重4578 kg，