摘要
目的探讨降低结节性甲状腺肿术后复发率的有效手术方法。方法将2007年1月-2011年6月，在武汉钢铁（集团）公司总医院进行手术治疗的157例结节性甲状腺肿患者，按照手术方法分为甲状腺全切组、甲状腺近全切组、甲状腺次全切、单纯病灶或腺体部分切除组等4组进行比较，比较其手术后的复发率和并发症。结果复发情况经过统计学处理，全切组与次全切组、全切组与局部切除组、近全切组与局部切除组的差异有高度显著性意义。全切组与近全切组、近次全切组与次全切组、次全切组与局部切除组的差异无统计学意义。并发症的发生情况，全切组与次全切组、全切组与近全切组、全切组与局部切除组的差异有高度显著性意义；近全切组与次全切组的比较，差异有显著性意义；次全切组与局部切除组、近全切组与局部切除组的比较，差异无统计学意义。结论甲状腺全切、近全切、次全切都是治疗结节性甲状腺肿的有效方法，应该加以提倡，术后终生服用甲状腺片或优甲乐疗效满意。而局部切除和甲状腺部分切除应慎用。
Objective To probe into effective surgical methods to reduce post-operational recurrence rate of nodular goiter. Methods One hundred and fifty-seven patients with nodular goiter who were admitted and had operations in our hospitals between Jan, 2007 and June, 2011 were assigned to one of the following 4 groups ： total thyroidectomy（TT）, nearly total thyroidectomy （NTI＇）, subtotal thyroidectomy （STT）, removal of lesion only or partial thyroidectomy（ also termed as local removal, LR）. Postsurgical recurrences and complications were compared among these groups. Results The recurrences were statistically analysed. There was a highly significant difference between Tr and STr, TT and LR, NTT and LR; no difference was observed between TT and NTT, STT and STT ＋ E, STT and LR. A statistical analysis was also carried out on the postsurgical compications in these patients. highly significant differnce was found between TT and STT, TT and NTT, TT and LR. There was a significant difference between sTr and NTT. There was no difference between STT and LR, NTr and LR. Conclusion TT, STT, NTT are all effective operations for nodular goiter and should be advocated. Satisfactory efficacy may be obtained with oral thyroxine or euthyrox for postsurgical lifetime. However, LR or partial thyroidectomy should be adopted cautiously.
出处
《国际外科学杂志》
2012年第10期686-688,共3页
International Journal of Surgery
