The application value of split type tubercle resection on unilateral thyroid benign nodules
10.3760/cma.j.issn.1008-6706.2017.23.030
- VernacularTitle:劈开式结节切除术在单侧良性甲状腺结节手术中的应用价值
- Author:
Chuanbo FENG
1
;
Zhonglin WANG
;
Hua SHAO
;
Yongchang MIAO
;
Lei QIU
Author Information
1. 连云港市第二人民医院普通外科
- Keywords:
Thyroid nodule;
Thyroidectomy;
Thyrotropin
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(23):3636-3639
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application value of split type tubercle on the surgical treatment of unilateral thyroid benign nodules.Methods 180 cases of unilateral benign thyroid nodules were selected,and they were randomly divided into split type tubercle resection group(group A,n =90) and hemithyroidectomy group(group B,n =90) according to the digital table.The clinical effects were compared in the two groups.Results There was no complication such as hypocalcaemia and postoperative hemorrhage.1 case of group A and 2 cases of group B had transient vocal cord palsy,there was no statistically significant difference (P ＞ 0.05).There were 6 cases postoperative nodule recurrences in group A,and 5 cases in group B during 6 months to 5 years follow-up,there was no statistically significant difference(P ＞0.05).The thyroid stimulating hormone(TSH) levels of the two groups showed no statistically significant difference before operation (P ＞ 0.05).However,the TSH level of group A (2.76 ± 1.34)IU/mL was lower than (4.31 ± 2.01)IU/mL of group B 1 year after operation,and the difference was significant between the two groups (t =9.235,P ＜ 0.05).Conclusion The split type tubercle resection is worthy to properly applied in surgical treatment of unilateral benign thyroid nodules.
