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目的探究外科手术在结节性甲状腺肿合并甲状腺癌患者临床治疗中的应用价值,以提高患者临床治疗效果。方法选取某院2012年5月-2014年7月收治的50例结节性甲状腺肿合并甲状腺癌患者为研究对象,在患者知情同意下均采取手术治疗,观察患者临床治疗效果。结果所有患者经病理证实为单侧癌及分化型癌,均采取手术治疗,其中行患侧甲状腺腺叶全切除术22例(44%)、峡部切除术12例(24%)、对侧次全切除术10例(20%)、功能性颈部淋巴结清扫术6例(12%),显效30例(60%)、有效16例(32%)、无效4例(8%)、总有效率92%。术后随访8个月-5年,均存活。结论采取针对性的手术方式治疗结节性甲状腺肿合并甲状腺癌能够显著提高患者临床治疗效果,术后随访8个月-5年所有手术患者均存活,证实手术治疗方式是目前治疗该病症的有效手段,值得在今后临床工作中推广使用。
Objective To investigate the clinical value of surgical operation in the treatment of patients with nodular goiter complicated with thyroid cancer so as to improve the clinical effect of the patients. Methods A total of 50 patients with nodular goiter complicated with thyroid cancer who were treated in our hospital from May 2012 to July 2014 were enrolled in this study. Surgical treatment was performed with informed consent of the patients, and the clinical effect was observed. Results All patients were pathologically confirmed as unilateral carcinoma and differentiated carcinoma. Surgical treatment was performed in all patients, including 22 cases (44%) of total thyroidectomy with ipsilateral thyroidectomy, 12 cases of isthmus resection (24%), Total resection in 10 cases (20%), functional neck lymph node dissection in 6 cases (12%), markedly effective in 30 cases (60%), effective in 16 cases (32%), ineffective in 4 cases (8% Efficiency of 92%. All cases were followed up for 8 months to 5 years. Conclusion The targeted surgical treatment of nodular goiter with thyroid cancer can significantly improve the clinical effect of treatment in patients with follow-up of 8 months to 5 years all surgical patients were alive, confirmed the surgical treatment is the current treatment of the disease effective Means, it is worth in the future clinical work to promote the use of.