Observation of the Clinical Effect of 68 Cases of Bilateral Nodular Goiter Surgery

Objective To discuss and explore the specific surgical methods for patients with bilateral nodular goiter and the treatment effect. Methods The patients with bilateral nodular goiter admitted in our hospital were randomly divided into the control group and the experimental group. The patients in the experimental group using vascular clamp to block the upper and lower pole arteriovenous, and the blood supply was restored every 15 minutes during the bilateral thyroid nodules are membrane resection and isthmus resection; After the operation, the vascular clip was removed and the blood supply of thyroid upper and lower pole was recovered. And at the same time the experimental group treated by this method was compared with the control group treated by the traditional operation method. Results The intraoperative blood loss of the observation group was 10 ml to 20 ml, the incidence of complications after operation was 3.4%, and the tubercle recurrence rate was 6.9%; while that of the control group was 40 ml to 60ml, 20.5% and 20.5%, respectively. There were statistically significant differences between the groups in the aspects of incidence of complications and tubercle recurrence rate,(P0.05). Conclusion For nodular thyroid patients, temporarily using vascular clamp to clip on upper and lower pole vessels during the operation can reduce the intraoperative blood loss and the tubercle recurrence rate after the operation and effectively avoid the occurrence of complications in the surgery, which is worthy of clinical promotion.