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目的探讨结节性甲状腺肿患者行甲状腺全切除术治疗的临床疗效。方法 96例结节性甲状腺肿患者,根据手术方式的不同将其分为观察组和对照组,每组48例,对照组采用甲状腺次全切除术进行治疗,观察组患者采用甲状腺全切除术进行治疗,比较两组患者的手术时间、住院时间、复发率及并发症发生率进行对比。结果观察组患者经甲状腺全切除治疗后其复发率及并发症发生率均明显低于行甲状腺次全切除治疗的对照组,差异具有统计学意义(P<0.05),且观察组患者的手术时间明显短于对照组,差异具有统计学意义(P<0.05),两组患者住院时间比较差异无统计学意义(P>0.05)。结论结节性甲状腺肿患者采用甲状腺全切除治疗可取得良好的效果,且可缩短手术时间、减少并发症及复发,具有较高的临床价值,值得进一步推广应用。
Objective To investigate the clinical effect of total thyroidectomy in patients with nodular goiter. Methods A total of 96 patients with nodular goiter were divided into observation group and control group according to different surgical methods. Each group included 48 patients. The control group was treated by subtotal thyroidectomy. The patients in observation group were treated with total thyroidectomy Treatment, compared the two groups of patients operating time, hospital stay, recurrence rate and complication rate were compared. Results The recurrence rate and complication rate of patients undergoing total thyroidectomy in observation group were significantly lower than those in control group undergoing subtotal thyroidectomy (P <0.05), and the operation time Was significantly shorter than the control group, the difference was statistically significant (P <0.05), hospital stay in both groups was no significant difference (P> 0.05). Conclusion Nodular goiter in patients with thyroidectomy can achieve good results, and can shorten the operation time and reduce complications and recurrence, with high clinical value, it is worth further promotion and application.