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目的比较甲状腺全切除术和次全切除术治疗分化型甲状腺癌的疗效。方法回顾性分析我院2010年1月~2012年6月间120例分化型甲状腺癌患者行甲状腺全切和次全切治疗的临床资料,其中甲状腺全切术组55例,甲状腺次全切术组65例,比较两组术后并发症发生情况以及3年内肿瘤复发情况。结果术后并发症发生情况显示:两组患者差异无显著统计学意义(P>0.05);术后3年内肿瘤复发情况显示:全切组患者术后复发率明显低于次全切除组(P<0.05)。结论应用甲状腺全切除术治疗分化型甲状腺癌,与次全切除术相比效果更为显著,可更加彻底地清除病灶,降低肿瘤的复发。
Objective To compare the efficacy of total thyroidectomy and subtotal resection in the treatment of differentiated thyroid cancer. Methods The clinical data of 120 patients with differentiated thyroid carcinoma who underwent total thyroidectomy and subtotal resection in our hospital from January 2010 to June 2012 were retrospectively analyzed. Among them, 55 cases underwent total thyroidectomy, subtotal thyroidectomy Group 65 cases, compared the incidence of postoperative complications and tumor recurrence within 3 years. Results The incidence of postoperative complications showed no significant difference between the two groups (P> 0.05). The tumor recurrence within 3 years after operation showed that the postoperative recurrence rate of patients in the resection group was significantly lower than that in the subtotal resection group (P <0.05). Conclusions The application of total thyroidectomy for differentiated thyroid carcinoma is more effective than subtotal resection, which can completely remove the lesion and reduce the recurrence of the tumor.