Objective:To investigate the effect of total and near-total resection surgery in the treatment of patients with thyroid carcinoma and its influence on recurrence.Method:A total of 80 patients with thyroid carcinoma admitted to Binzhou Central Hospital from October 2021 to October 2022 were selected for retrospective analysis,and they were divided into two groups according to different treatment methods.The control group(n=40)was treated with total resection surgery,and the observation group(n=40)was treated with near-total resection surgery.The clinical total effective rate,perioperative indexes,thyroid function before and after surgery,complication rate and recurrence rate were compared between the two groups.Result:There was no significant difference in total effective rate between the two groups(P>0.05).The intraoperative bleeding volume in the observation group was less than that in the control group,and the operation time and hospital stay were shorter than those in the control group,the differences were statistically significant(P<0.05).Thyroid stimulating hormone(TSH)in observation group was lower than that in control group,free triiodothyronine(FT3)and free thyroxine(FT4)were higher than those in control group,the differences were statistically significant(P<0.05).The complication rate of observation group was lower than that of control group,the difference was statistically significant(P<0.05).The recurrence rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:The results of total resection surgery and near-total resection surgery are similar for patients with thyroid carcinoma.Among them,the postoperative recurrence rate of total resection surgery is relatively low,while near-total resection surgery can effectively reduce intraoperative bleeding volume,shorten postoperative rehabilitation time,have less impact on thyroid function,and reduce the incidence of complications.
关键词
甲状腺癌/全切手术/近全切手术/甲状腺功能
Key words
Thyroid carcinoma/Total resection surgery/Near-total resection surgery/Thyroid function
维普
万方数据