Objective To analyze the efficacy of surgical treatment on differentiated thyroid cancer (DTC) complicated with lymphocytic thyroiditis (LT).Methods The clinical data of 147 patients with pathologically confirmed DTC and LT in our hospital from December 2013 to December 2015 were retrospectively analyzed.The operative time
average intraoperative blood loss
postoperative hospital stay
total effective rate
serum parathyroid hormone (PTH) levels and serum calcium levels at 1 day preoperation and postoperation
as well as the postoperative complications were analyzed. Results The operation time
average intraoperative blood loss and hospital stay of 147 patients were (126.23±30.65)min
(22.18±10.19)mL
(3.30±1.06)d
respectively.The total effective rate was 94.56%(139/147)
including 84 effective cases
55 valid cases and 8 invalid cases.The serum PHT and calcium levels at 1 day postoperation were lower than those 1 day preoperation(P<0.05).Postoperative complications occurred in 21 cases(14.29%)
including 3 cases of handfoot convulsions(2.04%)
5 cases of hoarseness(3.40%)
4 cases of dyspnea(2.72%)
1 case of asphyxia(0.68%)
5 cases of parathyroid injury(3.40%) and 3 cases of thyroid crisis(2.04%). Conclusion The application of the thyroidectomy plus regional neck lymph node dissection combined with the levothyroxine is an effective surgical treatment for patients with differentiated thyroid cancer with lymphocytic thyroiditis.