期刊文献+

甲状腺全切除术治疗结节性桥本氏甲状腺炎的效果探究 被引量:3

下载PDF
导出
摘要 目的:探究结节性桥本氏甲状腺炎患者行甲状腺全切除术的疗效。方法:选择2008-2012经药物治疗6个月~1年症状缓解不满意的结节性桥本氏甲状腺炎患者27例,随机分为治疗组和对照组,分别对治疗组行甲状腺全切除术、对照组行甲状腺次全切除术、一叶切除术、部分切除术及峡部切除术,对两组进行术前、术后临床症状缓解率、手术并发症及实验室检查等项目的比较。结果:治疗组与对照组术前各项症状和结果指标比较无统计学差异(P<0.05);治疗组术后症状缓解率80%,对照组缓解率33.3%;治疗组发现2例、对照组发现1例甲状腺微小癌。甲状腺素水平治疗前后比较,两组均无显著性差异(P>0.05);治疗组手术后Tg、TG-Ab、Tpo-Ab水平较术前明显降低,差异有显著性(P<0.05),对照组术前后差异无显著性(P>0.05),治疗后两组间比较差异有显著性(P<0.05)。结论:对经6个月~1年药物治疗后症状缓解不满意的临床顽固性桥本氏甲状腺炎患者行甲状腺全切除术的治疗是合理的、安全可靠的,症状缓解满意并可助于发现隐匿性甲状腺癌。
作者 王瑜 富晓敏
出处 《医学理论与实践》 2013年第13期1745-1746,共2页 The Journal of Medical Theory and Practice
  • 相关文献

参考文献1

共引文献39

同被引文献28

  • 1吕新生,李新营,王志明,周乐杜,李劲东.甲状腺手术所致喉返神经损伤的手术治疗[J].中华外科杂志,2005,43(5):301-303. 被引量:77
  • 2Tezelman S,Borucu I,Senyurek-Giles Y. The change in surgical practice from subtotal to near-total or total thyroidectomy in the treatment of patients with benign multinodular goiter .World Journal of Surgery,2009,33 (03) :400-405.
  • 3Ajjan RA,Weetman AP.The pathogenesis of Hashimoto's thyroiditis:further developments in our understanding[J].Horm Metab Res,2015,47(10):702-710.
  • 4Noureldine SI,Tufano RP.Association of Hashimoto,s thyroiditis and thyroid cancer[J].Curr Opin Oncol,2015,27(1):21-5.
  • 5Zayed AA,Ali MK,Jaber OI,et al.Is Hashimotoys thyroiditis a risk factor for medullary thyroid carcinoma? Our experience and a literature review[J].Endocrine,2015,48(2):629-636.
  • 6Kim SS,Lee BJ,Lee JC,et al.Coexistence of Hashimoto"s thyroiditis with papillary thyroid carcinoma:the influence of lymph node metastasis[J].Head Neck,2011,33(9):1272-1277.
  • 7Huang BY,Hseuh C,Chao TC,et al.Well-differentiated thyroid carcinoma with concomitant Hashimoto's thyroiditis present with less aggressive clinical stage and low recurrence[J].Endocr Pathol,2011,22(3):144-149.
  • 8Pino Rivero V,Guerra Camacho M,Marcos Garcia M,et al.The incidence of thyroid carcinoma in Hashimoto's thyroiditis:our experience and literature review[J].An Otorrinolaringol Ibero Am,2004,31(3):223-230.
  • 9Olson MT,Boonyaarunnate T,Aragon Han P,et al.A tertiary center's experience with second review of 3885 thyroid cytopathology specimens[J].J Clin Endocrinol Metab,2013,98(4):1450-1457.
  • 10Paterson RW,Torres-Chae CC,Kuo AL,et al.Differential diagnosis of Jakob-Creutzfeldt disease[J].Arch Neurol,2012,69(12):1578-1582.

引证文献3

二级引证文献16

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部