Abstract:

Objective To investigate the inflammatory index analysis of thyroid cancer resection in thyroid cancer patients. Method Thirty patients of thyroid cancer treated at Xuancheng Renjie Hospital from January 2019 to September 2021 were randomly divided into two groups, the control group used the thyroid lobectomy plus contralateral subtotal resection, and the observation group

used the thyroid lobectomy, compared the two groups with the operating indexes, complication rate, thyroid hormone index, parathyroid hormone (PTH) and blood calcium levels. Result The operation time, intraoperative bleeding amount, postoperative analgesia time and hospital stay in the observation group were shorter than those in the control group (P ＜ 0.05);The incidence of incision infection, hypocalcemia, hypothyroid function, and recurrent laryngeal nerve injury was significantly lower than that in the control group (P ＜ 0.05); Total triiodothyronine(TT3), total thyroxine (TT4), PTH and blood calcium were significantly higher than the control group (P ＜ 0.05), and free triiodothyronine (FT3), free thyroxine (FT4) were significantly lower than the control group (P ＜ 0.05). Conclusion Thyroid lobectomy has small trauma to thyroid cancer and low incidence of postoperative complications, which can partially retain the physiological function of the thyroid, maintain thyroid hormone levels, and avoid the continuous reduction of PTH and blood calcium levels, which has positive clinical significance.

Key words: Thyroid cancer, Thyroid lobectomy, Contralateral subtotal resection, Thyroid hormone, Efficacy