摘要
[ 摘要 ] 目的 分析在分化型甲状腺癌患者治疗中应用甲状腺全切手术治疗有效性。方法 该研究方便选择 25 例分化型甲状腺癌患者，患者入院治疗时间段均是 2019 年 1—12 月，为实施随机对照试验，将 25 例患者平均划分成对照组与观察组，对照组患者采取甲状腺患侧腺叶全切除术与峡部切除术，观察组应用甲状腺全切手术治疗，对比两组患者治疗有效性。结果 观察组 88.00% 的治疗有效率，对照组 60.00% 的治疗有效率，对照组手术疗效低于观察组，差异有统计学意义（ χ2=4.250 ， P<0.05 ） ; 观察组患者的并发症发生率明显低于对照组，差异有统计学意义（ χ2=6.865 ， P=0.001<0.05 ） ; 观察组术后平均下床时间、平均住院时间明显比对照组短（ χ2=6.256 、 4.673 ， P=0.003 、 0.012;t=11.586 、 14.267 ， P=0.000 、 0.000 <0.05 ）。结论 在分化型甲状腺癌患者治疗中应用甲状腺全切手术治疗效果显著，值得应用。
[ 关键词 ] 甲状腺全切 ; 分化型 ; 甲状腺癌 ; 治疗效果
[Abstract] ObjectiveTo analyze the effectiveness of total thyroidectomy in the treatment of patients with differentiated thyroid cancer. Methods A total of 25 patients with differentiated thyroid cancer were selected in this study. All patients were convenient admitted to hospital for treatment from January to December 2018. For randomized controlled trials ， 25 patients were divided into control group and observation. The patients in the control group were treated with total thyroidectomy and isthmus resection. The observation group was treated with total thyroidectomy ， and the treatment effectiveness of the two groups was compared. Results 88.00% of the observation group was effective ， and 60.00% of the control group was effective. The control effect of the control group was lower than that of the observation group ， and there was statistical difference （ χ2=4.250 ， P<0.05 ） . The incidence of complications was obvious in the observation group. Lower than the control group （ χ2=6.865 ， P=0.001<0.05 ）， the difference was obvious; the average bedtime and average hospitalization time in the observation group were significantly shorter than the control group （ χ2=6.256 ， 4.673 ， P=0.003 ， 0.012;t=11.586 ， 14.267 ， P=0.000 ， 0.000 <0.05 ） . Conclusion The treatment of differentiated thyroid cancer patients with thyroidectomy is effective. It is worth applying.
[Key words] Total thyroidectomy; Differentiation; Thyroid cancer; Treatment effect
甲狀腺是人体中最为重要且最大的一个内分泌器官，而甲状腺癌也是内分泌系统中最常见的恶性肿瘤。我国学者也调查发现，我国近 10 年 1 来，甲状腺癌的增长率高达 200% ，而在所有的甲状腺癌患者中，最为常见的病理类型是甲状腺乳头状癌，其与滤泡状癌统称为分化型甲状腺癌 [1] 。但值得高兴的是，虽然分化型甲状腺癌的发生几率较高，但恶性程度较其他甲状腺恶性肿瘤要低。目前临床治疗甲状腺癌的主要方法为手术治疗，手术类型包括甲状腺侧叶次全切除术和全切除术，对此，方便选择 25 例分化型甲状腺癌患者，全部患者入院治疗时间段均是 2019 年 1—12 月，探讨了在分化型甲状腺癌患者治疗中应用甲状腺全切手术治疗有效性，现报道如下。
出版日期
2020年04月28日（中国期刊网平台首次上网日期，不代表论文的发表时间）
