Abstract:

Objective To investigate the effect of total thyroidectomy and unilateral lobectomy in the treatment of T1 and T2 differentiated thyroid cancer. Method 72 patients with T1 and T2 differentiated thyroid cancer treated in Shunde Hospital Guangzhou University of Chinese Medicine from January 2016 to July 2020 were selected as the research objects, and they were divided into groups according to their different surgical methods. 32 patients in the control group underwent total thyroidectomy; total thyroidectomy was performed in 40 cases in the experimental group. The treatment effect, operation index, hospital stay,complication rate and disease recurrence of the two groups were analyzed. Result The total effective rate was 93.8% in the control group and 95.0% in the experimental group. There was no significant difference between the two groups (P ＞ 0.05); The operation time, bleeding volume and complications in the control group were lower than those in the experimental group (P ＜ 0.05). There was no significant difference in the amount of bleeding and postoperative hospital stay between the two groups (P ＞ 0.05), and there was no significant difference in the short-term recurrence rate (P ＞ 0.05). Conclusion Total thyroidectomy and unilateral thyroidectomy have certain value in the treatment of patients with T1 and T2 differentiated thyroid cancer. Unilateral total thyroidectomy can reduce the amount of bleeding, operation time and complication rate, and the short-term treatment effect is the same as that of total thyroidectomy.

Key words: Total thyroidectomy, Unilateral thyroidectomy, Thyroid carcinoma