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目的:总结分析T2期分化型甲状腺癌患者采用甲状腺全切术联合放射性碘治疗的临床效果。方法:以笔者整理的平煤神马医疗集团总医院80例T2期分化型甲状腺癌患者为研究对象,病例选择时间为2013年5月至2016年8月,按照随机分配方法分为观察组(40例)和对照组(40例),对照组采用甲状腺全切术,观察组采用甲状腺全切术联合放射性碘治疗方法,回顾分析两组患者的治疗效果以及相关指标。结果:在临床治疗总有效率、患者术后生活质量评分,观察组和对照组比较,差异具有统计学意义(P<0.05),在治疗后的肝功能指标方面,观察组与对照组比较,差异无统计学意义(P>0.05)。结论:对于T2期分化型甲状腺癌在甲状腺全切术治疗基础上采用放射性碘治疗,可提高患者的治疗效果以及生活质量,同时采用放射线碘治疗对患者的肝功能影响较小。
Objective: To summarize and analyze the clinical effect of total thyroidectomy combined with radioactive iodine in patients with stage T2 differentiated thyroid cancer. Methods: 80 cases of T2-stage differentiated thyroid cancer patients in Pingma Coalmine General Hospital of Pingdingshan were selected as the research object. The time of patient selection was from May 2013 to August 2016. The patients were randomly divided into observation group 40 cases) and control group (40 cases). The control group was treated by total thyroidectomy. The observation group was treated by total thyroidectomy combined with radioactive iodine treatment. The therapeutic effect and related indicators of the two groups were retrospectively analyzed. Results: The total effective rate of clinical treatment, postoperative quality of life score, the observation group and the control group, the difference was statistically significant (P <0.05), in the treatment of liver function indicators, the observation group compared with the control group, The difference was not statistically significant (P> 0.05). Conclusion: The use of radioactive iodine treatment based on total thyroidectomy for T2 stage thyroid carcinoma can improve the therapeutic effect and quality of life of patients with concurrent thyroidectomy. At the same time, the use of radioactive iodine treatment has little effect on the liver function of patients.