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.
Key words:
Thyroid nodule; Thyroidectomy; Thyrotropin
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