摘要
Abstract
Objective To discuss curative effect of primary hyperthyroidism complicating by thyroid cancer.Methods 106 patients with primary hyperthyroidism complicating by thyroid cancer in our hospital from May 2013 to February 2014 were selected,and randomly divided into control group and observation group,53 cases in each group.Control group underwent thyroid bilateral lobe sub-total thyroidectomy,while observation group underwent total thyroidectomy.Patients were followed up for two years to compare the curative effect.Results The postoperative bleeding rate of observation group was 13.21％,lower than 33.96％ of control group,with statistically significant difference between two groups (x 2=6.33,P＜0.05).The recurrence rate of observation group was 5.67％,lower than that 28.30％ of control group,with statistically significant difference between two groups (x 2=9.64,P＜0.05).The incidence of recurrent laryngeal nerve injury after operation was 15.09％ in control group and 7.55％ in observation group,without statistically significant difference between two groups (x 2=2.54,P＞0.05);there was no postoperative permanent hypoparathyroidism in both two groups.Conclusion Total thyroidectomy can reduce the incidence of complications and recurrence rate of primary hyperthyroidism complicating by thyroid carcinoma,with remarkable therapeutic effect,worthy of wide clinical application.关键词
原发性甲状腺功能亢进/甲状腺癌/外科治疗Key words
Primary hyperthyroidism/Thyroid cancer/Surgical treatment
