Objective To compare the effect of different operation methods in treatment of patients with differentiated thy-roid carcinoma. Methods 156 cases of patients with differentiated thyroid carcinoma admitted and treated in our hospital from January 2013 to December 2014 were selected as the research objects and randomly divided into two groups, the group A were treated with lobus glandulae thyroideaeta of affected side and isthmectomy, the group B were treated with total thy-roidectomy, and the general conditions in operation and after operation were compared between the two groups. Results Af-ter treatment, the treatment effect of both groups is ideal, and the difference had no statistical significance, P>0.05, but in the group A, the injury of recurrent laryngeal nerve occurred to 1 case and the probability was 1.3%, in the group B, the in-jury of recurrent laryngeal nerve occurred to 4 cases and the probability was 5.1%, and the differences between the two groups had statistical significance, P<0.05. Conclusion For patients with differentiated thyroid carcinoma, both total thy-roidectomy and lobus glandulae thyroideaeta of affected side and isthmectomy have an obvious treatment effect, but the oc-currence probability of injury of recurrent laryngeal nerve is different, and we should choose the suitable operation method according to the specific situations of patients.%目的：将不同手术方式治疗分化型甲状腺癌患者的效果进行对比。方法该次研究以整群选取该院2013年1月—2014年12月期间收治的156例分化型甲状腺癌患者为研究对象,随机分组,A组行患侧甲状腺叶及峡部切除术,B组行甲状腺全切术。将两组患者手术及术后的一般情况作比较。结果两组患者经不同术式医治后,治疗的效果都较为理想,差异无统计学意义(P>0.05),但两组患者治疗后,A组有1例患者发生喉返神经的损伤,概率为1.3%,B组有4例发生(5.1%),两组差异有统计学意义(P<0.05)。结论对于分化型甲状腺癌的患者,甲状腺全切术和患侧甲状腺叶及峡部切除术的治疗效果都较为明显,但术后对于喉返神经损伤的几率有所差异,应根据患者的具体情况选择适合的手术方式。
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