甲状腺全切术与甲状腺次全切术治疗双侧结节性甲状腺肿的临床疗效比较

摘要

Objective To observe the clinical effect of total thyroidectomy and subtotal thyroidectomy in the treatment of bilateral nodular goiter. Methods110 cases with bilateral nodular goiter were randomly divided into group A and group B, 55 cases in each group. Group A used total thyroidectomy for the treatment. Group B used subtotal resection. The operation effect were compared between the two groups.Results The efficiency of two groups of treatment, postoperative complications rate were not statistically signiifcant (P>0.05). All the patients were followed up for 1 year, the recurrence rate of the group A was significantly lower than that in group B (P<0.05).Conclusion Thyroid resection surgery and thyroid times total resection surgery in the treatment of bilateral nodules of thyroid swelling can achieve signiifcant clinical effcacy, less postoperative complications. Compared with total thyroidectomy, the recurrence rate of subtotal thyroidectomy is high.%目的：观察比较甲状腺全切术与甲状腺次全切术治疗双侧结节性甲状腺肿的临床疗效。方法选择双侧结节性甲状腺肿患者110例，随机分为A组和B组，每组55例，A组采用甲状腺全切术；B组采用甲状腺次全切术。比较两组手术效果。结果两组治疗有效率、术后并发症发生率之间差异均无统计学意义（P＞0.05）；对所有患者随访1年，A组复发率低于B组（P＜0.05）。结论甲状腺全切术与甲状腺次全切术治疗双侧结节性甲状腺肿均可以取得显著的临床疗效，术后并发症较少；与甲状腺全切术比较，甲状腺次全切术复发率较高。