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甲状腺全切除术对结节性甲状腺肿患者生活质量的影响

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目的 分析甲状腺全切术对结节性甲状腺肿患者生活质量的影响.方法 选取2014年6月~2015年7月期间在本院接受甲状腺肿切除手术患者70例,将所有患者随机分为2组,各35例.对照组采用甲状腺次全切术,观察组采用甲状腺全切除术,分析比较2组患者手术情况、甲状腺功能、治疗效果及对生活质量情况.结果 观察组手术时间与住院时间均长于对照组,差异具有统计学意义(P<0.05),2组术中出血量及治疗有效率比较差异均无统计学意义;手术前,2组甲状腺功能比较差异无统计学意义,手术后,2组甲状腺功能均较手术前有所下降,但2组比较差异无统计学意义;2组在VAS评分及健康描述系统评分比较差异均无统计学意义.结论 对结节性甲状腺肿患者采用甲状腺全切除术临床效果明显,可以提高患者的生活质量,手术治愈率高,并发症少,有利于术后恢复,在临床应用中具有推广价值.
Effect of total thyroidectomy on quality of life in patients with nodular goiter
Objective To analyze the influence of total thyroidectomy (TT) on quality of life of patients with nodular goiter with iodine deficiency.Methods 70 patients who received TT in the hospital from June 2014 to July 2015 were randomly divided into two groups, 35 cases in each.Control group received subtotal thyroidectomy and observation group received total thyroidectomy.The situation of operation, thyroid function, therapeutic effects and quality of life in two groups were compared.Results Operation time and hospital stays of observation group were significantly longer than that of control group (P<0.05);There was no significant difference in intraoperative bleeding volume and curative effective rate between the two groups;Before surgery, there was no significant difference in thyroid function between the two groups;After surgery, thyroid function of both two groups decreased compared with pre-operation, but there was no significant difference;There was significant difference in VAS and health description system scores between the two groups.Conclusion TT in treatment of patients with nodular goiter with iodine deficiency has significant clinical efficacy with high cure rate and less complication, and it can improve quality of life of patients, which is beneficial to postoperative recovery and worthy of generalization in clinical application.

total thyroidectomynodular goiter with iodine deficiencyquality of life

陈云杰、任峰

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宁波市第二医院 肝胆微创外科,浙江 宁波 315010

甲状腺全切术 结节性甲状腺肿 生活质量

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.(7)
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