甲状腺癌切除术对甲状腺癌患者相关指标的影响

Influence of thyroidectomy on related indicators in patients with thyroid cancer

  • 摘要: 目的 探讨甲状腺癌切除术对甲状腺癌患者炎症指标及甲状旁腺激素(PTH)水平的影响。 方法 将69例甲状腺癌患者按照随机数字表法分为观察组(n=35)和对照组(n=34)。对照组行甲状腺双侧叶全切术治疗,观察组行单侧叶切除术治疗。比较2组手术相关指标、炎症因子[白细胞介素-17(IL-17)、白细胞介素-35(IL-35)、γ干扰素(IFN-γ)]水平以及PTH水平。 结果 观察组术中出血量少于对照组,手术时间及住院时间短于对照组,差异有统计学意义(P<0.05); 术前, 2组炎症因子和PTH水平差异无统计学意义(P>0.05); 术后3 d, 2组IL-17、PTH水平均低于术前,观察组IL-17水平低于对照组, PTH水平高于对照组,差异有统计学意义(P<0.05)。术后3 d, 2组IL-35、IFN-γ水平高于术前,且观察组高于对照组,差异有统计学意义(P<0.05)。 结论 单侧叶切除术治疗甲状腺癌患者可缩短住院时间,调节炎症因子水平,对PTH水平影响相对较小。

     

    Abstract: Objective To investigate the influence of thyroidectomy on inflammatory indicators and parathyroid hormone(PTH)level in patients with thyroid cancer. Methods A total of 69 cases with thyroid cancer were divided into observation group(n=35)and control group(n=34)according to random number table method. The patients in the control group underwent bilateral total thyroidectomy, while those in the observation group were treated with unilateral total thyroidectomy. The operation-related indicators, inflammatory factors [interleukin-17(IL-17), interleukin-35(IL-35), γ interferon(IFN-γ)], and PTH level were compared between the two groups. Results The amount of intraoperative blood loss in the observation group was significantly less, and the duration of operation and hospital stay were significantly shorter than those in the control group(P<0.05). Before surgery, there were no significant differences in inflammatory factors and PTH levels between the two groups(P>0.05). Three days after surgery, IL-17 and PTH levels in both groups were lower than those before surgery, IL-17 level in the observation group was significantly lower, and PTH level was significantly higher than that in the control group(P<0.05). Three days after the operation, the levels of IL-35 and IFN-γ in the two groups were significantly higher than those before operation, and were also higher in the observation group than those in the control group(P<0.05). Conclusion Unilateral total thyroidectomy in the treatment of thyroid cancer can shorten hospital stay and regulate inflammatory indicators of patients, and has less impact on PTH level.

     

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