A Comparative Study of Surgical Treatment of Early and Middle Stage Micro Thyroid Cancer

Abstract

Abstract: Objective To compare the effectiveness of different surgical treatments for early to mid stage miniature thyroid cancer. Methods 88 microminiature thyroid cancer patients treated from February 2021 to February 2023 were selected as the research subjects, and all patients were divided into study group and control group according to different surgical methods, with 44 patients in each group.The control group received open thyroid surgery treatment,while the study group received endoscopic assisted thyroid surgery treatment.Recorded the plasma thyroid hormones and perioperative indicators of two groups of patients, as well as the changes in postoperative complications and pain scores. Results At 14 d (P<0.05), the total serum triiodothyronine was higher than 1 d before surgery (P<0.05). At 14 d after surgery, the serum parathyroid hormone and total triiodothyronine content of the study group were significant when compared with the control group (P<0.05). There was not significant (P>0.05).The study group's postoperative tube time, postoperative blood loss and postoperative hospital stay were significantly less than the control group, showing the statistically significant difference (P<0.05). The incidence of hypocalcemia, hoarseness, water cough, incision infection, recurrent laryngeal nerve injury was lower in the control group, with a statistically significant difference (P<0.05). The VAS scores of the study group at 1 d, 7 d and 14 d were lower than that of the control group, which the difference was significant (P<0.05). Conclusion Endoscopic assisted thyroid surgery can reduce postoperative catheterization time, intraoperative bleeding, postoperative hospitalization time, and reduce the incidence of complications in patients with early to mid stage miniature thyroid cancer. It can also reduce serum parathyroid hormone levels, increase serum total triiodothyronine content, and promote pain relief in patients.

Key words: minimal thyroid cancer, endoscopy, surgical treatment, parathyroid hormone, complications, pain

CLC Number:

R736.1

XIE Lei. A Comparative Study of Surgical Treatment of Early and Middle Stage Micro Thyroid Cancer[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(14): 36-39.

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