论文部分内容阅读
目的对甲状腺肿瘤患者给予普外科手术治疗,观察疗效和临床特点。方法 98例甲状腺肿瘤患者,按照治疗手段不同分为实验组和对照组,每组49例,实验组患者选择普外科手术进行治疗,而对照组则选择保守中医方法进行治疗。治疗后随访观察患者的疗效和复发情况。结果实验组患者缓解率95.9%,术后复发率4.1%,满意率98.0%,疗效较好,但容易出现术后甲状腺功能低下,不良反应发生率为36.7%;而对照组缓解率71.4%,复发率18.4%,满意率75.5%,不良反应比实验组明显减少,为18.4%(9/49)。实验组缓解率、复发率、满意率均优于对照组(P<0.05),对照组不良反应发生率低于实验组(P<0.05)。结论对甲状腺肿瘤患者的临床治疗,应尽量采取手术的方式,缓解症状,减轻复发率,切除后复发者可进行保守治疗,效果更好。
Objective To treat patients with thyroid tumors by general surgery and observe the curative effect and clinical features. Methods A total of 98 patients with thyroid tumors were divided into experimental group and control group according to different treatment methods. Each group had 49 cases. The patients in the experimental group were treated by general surgery while the control group were treated by conservative traditional Chinese medicine. Follow-up after treatment to observe the efficacy and recurrence of patients. Results In the experimental group, the remission rate was 95.9%, the postoperative recurrence rate was 4.1% and the satisfaction rate was 98.0%, the curative effect was better, but postoperative thyroid dysfunction was prone to occur with a rate of adverse reactions of 36.7%; while the remission rate of the control group was 71.4% The recurrence rate was 18.4%, the satisfaction rate was 75.5%. The adverse reaction was significantly reduced compared with the experimental group (18.4%, 9/49). The remission rate, recurrence rate and satisfaction rate in the experimental group were better than those in the control group (P <0.05). The incidence of adverse reactions in the control group was lower than that in the experimental group (P <0.05). Conclusion Clinical treatment of patients with thyroid tumors should try to take the surgical approach to relieve symptoms and reduce the recurrence rate, recurrence after resection can be conservative treatment, the effect is better.