赵永辉

[摘要] 目的 研究甲狀腺腺叶切除术对甲状腺结节的治疗作用。方法 方便选取该院住院部于2016年1—12月期间明确诊断并接受择期手术治疗的甲状腺结节患者作为研究对象，共84例。所有患者均经颈部B超确诊为甲状腺结节。根据数字随机表方法进行分组，对照组、观察组分别纳入42例患者。对照组患者用甲状腺次全切除术治疗，观察组患者用甲状腺腺叶切除术治疗。对比两组患者在手术一般情况以及术后并发症情况方面的差异。 结果 对比手术时间，观察组为（110.2±15.3）min，显著短于对照组（P<0.05）；对比术中出血量，观察组为（61.5±10.8）mL，显著低于对照组（P<0.05）；对比住院时间，观察组为（8.1±0.6）d，显著短于对照组（P<0.05）；对比住院费用，观察组为（6 521.5±123.8）元，显著低于对照组（P<0.05）。对比术后并发症发生率，观察组为9.52%（4/42），显著低于对照组（P<0.05）。结论 在对甲状腺结节患者进行治疗时，选用甲状腺腺叶切除术术式具有确切的临床效果，可降低术中出血量，缩短手术时间以及住院时间，节约住院费用，并对降低术后各类不良反应发生率有积极作用，临床价值值得肯定。

[关键词] 甲状腺结节；甲状腺腺叶切除术；并发症；治疗作用

[中图分类号] R653 [文献标识码] A [文章编号] 1674-0742（2017）04（a）-0084-03

Research on Effect of Thyroid Gland Lobectomy in Treatment of Thyroid Nodules

ZHAO Yong-hui

Department of Surgery， Xingwen Hospital of Traditional Chinese Medicine， Yibin， Sichuan Province， 644400 China

[Abstract] Objective To research the effect of thyroid gland lobectomy in treatment of thyroid nodules. Methods 84 cases of patients with thyroid nodules in our hospital from January 2016 to December 2016 were conveniently selected as the research objects and all patients were diagnosed with thyroid nodules by the neck B ultrasound， and the patients were randomly divided into two groups with 42 cases in each， the control group were treated with thyroid gland inferior total excision， while the observation group were treated with thyroid gland lobectomy， and the differences in the general operation situation and postoperative complications were compared between the two groups. Results The operation time in the observation group was （110.2±15.3）min， which was obviously shorter than that in the control group（P<0.05）， and the intraoperative bleeding amount in the observation group was （61.5±10.8）mL， which was obviously lower than that in the control group（P<0.05）， and the length of stay in the observation group was （8.1±0.6）d， which was obviously shorter than that in the control group（P<0.05）， and the hospitalization cost in the observation group was （6 521.5±123.8）yuan， which was obviously lower than that in the control group（P<0.05）， and the incidence rate of complications after operation in the observation group was 9.52%（4/42）， which was obviously lower than that in the control group（P<0.05）. Conclusion The clinical effect of thyroid gland lobectomy in treatment of thyroid nodules is definite， which can reduce the intraoperative bleeding amount， shorten the operation time and length of stay， save the hospitalization cost and reduce the incidence rate of various adverse reactions， and the clinical value is worth recognition.

[Key words] Thyroid nodules； Thyroid gland lobectomy； Complication； Treatment effect

甲状腺结节是临床常见外科疾病，成年人甲状腺结节发病率在4.0%～8.0%间，病灶单发、多发均可见[1]。既往报道中显示[2-3]，甲状腺结节在中年妇女群体中的发病率较高，且发病率有逐年上升的趋势。当前，外科手术治疗甲状腺结节的价值已经得到大量文献证实与肯定，但各方研究人员也形成共识，即不同类型甲状腺结节患者应选用不同的手术治疗方法干预[4]。甲状腺腺叶切除术作为甲状腺结节病灶的全新治疗方法之一，相较于传统手术方式而言具有缩短手术时间、降低出血量，避免组织残留所致局部复发等诸多优势[5]，对病理诊断性良恶性界定不明的甲状腺结节患者有良好适应性。为研究甲状腺腺叶切除术对甲状腺结节的治疗作用，该研究中纳入该院住院部于2016年1—12月期间明确诊断并接受择期手术治疗的甲状腺结节患者作为研究对象，共84例。……