浅议甲状腺肿瘤普外科手术治疗临床要点探讨.docVIP

精品论文 参考文献 浅议甲状腺肿瘤普外科手术治疗临床要点探讨 牟向阳 　　（山东省诸城市皇华镇中心卫生院外科 262229） 　　【摘要】目的：探讨甲状腺肿瘤普外科手术治疗的主要方法与临床疗效。方法：回顾分析2012年5月至2013年5月入住我院接受常规治疗的50例甲状腺肿瘤患者的临床资料，将所有患者随机分为研究组（25例）和对照组（25例），给予对照组保守治疗，给予研究组普外科手术治疗，整个治疗疗程12个月，最后采用对照分析方法对比两组的临床治疗效果。结果：治疗后研究组38例患者中，总有效率97.4%（24/25）。1年随访中复发3例，复发率7.9%。治疗后对照组38例患者中，总有效率81.6%（20/25）。1年随访中复发4例，复发率10.5%。两组疗效对比差异显著（P＜0.05），具有统计学意义。结论：普外科手术方法治疗甲状腺肿瘤能够取得较为显著的疗效，但相比于保守治疗而言其复发率较大，为了提高治愈率应该将两种方法结合起来进行治疗。 　　【关键词】甲状腺肿瘤 普外科手术 临床要点 　　【中图分类号】R730.5 【文献标识码】A 【文章编号】1672-5085（2014）10-0127-02 　　To investigate the clinical therapy of thyroid tumor operation in Department of general surgery 　　Hua Town Center Hospital Surgical city Shandong province Mu Xiangyang Emperor (262229) 　　【Abstract】Objective: To investigate the clinical effect and main method for the treatment of thyroid tumor operation in the Department of general surgery. Methods: retrospective analysis of 2012 May to 2013 May in our hospital received conventional treatment of 50 cases of thyroid tumor patients clinical data, all patients were randomly divided into study group (25 cases) and control group (25 cases), control group received conservative treatment, give the study group Department of general surgery surgery, the whole treatment course 12 month, the comparison and analysis of clinical therapeutic effect between two groups of methods. Results: after the treatment, the study group 38 cases, the total effective rate was 97.4% (24/25). In 3 cases of recurrence in 1 years of follow-up, the recurrence rate was 7.9%. After treatment, 38 patients in the control group, the total efficiency of 81.6% (20/25). In 4 cases of recurrence in 1 years of follow-up, the recurrence rate was 10.5%. Difference between the two groups in curative effect contrast significantly (P lt; 0.05), with statistical significance. Conclusion: the operation method in the treatment of thyroid tumors Department of general surgery to have more significant effect, but