刘辉斌

[摘要] 目的 比较甲状腺腺叶切除术与甲状腺次全切除术治疗甲状腺结节的效果。 方法 选取2013年6月～2015年6月在本院就诊的96例甲状腺结节患者作为研究对象，随机分为对照组和实验组，各48例。对照组采用甲状腺次全切除术，实验组采用甲状腺腺叶切除术，比较两组的手术时间、术中出血量、住院时间、术后并发症发生率。 结果 实验组的术中出血量显著少于对照组，住院时间显著短于对照组，差异有统计学意义（P<0.05）。两组的手术时间比较，差异无统计学意义（P>0.05）。实验组的并发症发生率为14.58%，显著低于对照组的54.17%，差异有统计学意义（P<0.05）。 结论 甲状腺腺叶切除术治疗甲状腺结节的效果优于甲状腺次全切除术，创伤小，并发症发生率低，值得临床推广应用。

[关键词] 甲状腺次全切除术；甲状腺叶切除术；甲状腺结节；并发症；安全性

[中图分类号] R581.9 [文献标识码] A [文章编号] 1674-4721（2016）02（b）-0047-03

Difference of the advantage and disadvantage between total thyroid lobectomy and subtotal thyroidectomy in the treatment of thyroid nodule

LIU Hui-bin

Department of Surgery，Traditional Chinese Medicine Hospital of Jishui County in Jiangxi Province，Jishui 331600，China

[Abstract] Objective To compare the effect between total thyroid lobectomy and subtotal thyroidectomy in the treatment of thyroid nodule. Methods 96 patients with thyroid nodule in our hospital from June 2013 to June 2015 were selected and randomly divided into the control group and the study group，48 patients in each group.The control group was treated with subtotal thyroidectomy，the study group was treated with total thyroid lobectomy.The operation time，the amount of bleeding during operation，hospitalization time and the incidence rate of complication after operation was compared between the two groups reapectively. Results The amount of bleeding during operation in the study group was less than that in the control group，the hospitalization time in the study group was shorter than that in the control group，with significant difference （P<0.05）.There was no significant difference in the operation time between the two groups （P>0.05）.The incidence rate of complication in the study group was 14.58%，which was lower than 54.17% in the control group，with significant difference （P<0.05）. Conclusion The effect of thyroid gland lobectomy in the treatment of thyroid nodule is better than that of subtotal thyroidectomy，with small incision and low incidence rate of complication，it is worthy of clinical promotion and application.

[Key words] Subtotal thyroidectomy；Total thyroid lobectomy；Thyroid nodule；Complication；Safety

甲状腺结节多发于中年女性，为临床常见的外科疾病，是患者甲状腺在垂体分泌过多的TSH的长期刺激下持续或反复增生引起的甲状腺结节样变[1]，若不及时救治，病情可能恶化甚至发展为恶性肿瘤，危及生命。目前，本病的主要治疗手段为手术切除病变部位，但甲状腺解剖结构复杂[2]，若手术方式选择不当，很可能会引发并发症，甚至导致肿瘤恶化，严重影响患者的生活质量[3]。本研究选取在本院就诊的甲状腺结节患者作为研究对象，旨在探讨甲状腺腺叶切除术与甲状腺次全切除术治疗甲状腺结节的效果。

1 资料与方法

1.1 一般资料

选取2013年6月～2015年6月在本院就诊的96例甲状腺结节患者作为研究对象，随机分为对照组和实验组，各48例。对照组中，男23例，女25例；平均年龄（40.78±6.13）岁；……