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目的研究与探讨两种手术方式对分化型甲状腺癌并发症的影响。方法 188例分化型甲状腺癌患者随机分成治疗组和对照组,每组94例。治疗组实施甲状腺次全切或近全切除术,对照组实施甲状腺全切除术。对两组患者术后甲状旁腺功能减退、复发、喉返神经损伤、低钙血症等情况进行比较。结果术后,治疗组患者甲状旁腺功能减退、喉返神经损伤、低钙血症发病率均明显优于对照组患者,差异具有统计学意义(P<0.05),两组患者复发情况比较,差异无统计学意义(P>0.05)。结论甲状腺次全切或近全切术可降低甲状腺功能减退发生率,减少低钙血症的发病率,同时对喉返神经的影响较小,因此对于分化型甲状腺癌患者可选择甲状腺次全切或近全切术,效果十分显著。
Objective To study and explore the effect of two surgical methods on the complication of differentiated thyroid cancer. Methods 188 patients with differentiated thyroid cancer were randomly divided into treatment group and control group, 94 cases in each group. The treatment group underwent subtotal or near total thyroidectomy, and the control group received total thyroidectomy. The postoperative hypoparathyroidism, recurrence, recurrent laryngeal nerve injury and hypocalcemia were compared between the two groups. Results Postoperatively, the incidences of hypoparathyroidism, recurrent laryngeal nerve injury and hypocalcemia in the treatment group were significantly better than those in the control group (P <0.05). The recurrence of the two groups was significantly higher than that of the control group The difference was not statistically significant (P> 0.05). Conclusions Subtotal or near total thyroidectomy can reduce the incidence of hypothyroidism, reduce the incidence of hypocalcemia, while the recurrent laryngeal nerve less affected, so for patients with differentiated thyroid cancer can choose subtotal thyroidectomy Or near total resection, the effect is very significant.