Abstract：Objective: To study curative efficacy of the improved Miccoli surgery combined with nano-carbon tracer in treatment of total thyroidectomy and its effects on safety analysis. Methods: 80 patients of thyroid carcinoma who received therapy from January 2016 to February 2018 in our hospital were selected as research objects, according to the random number table, each group of 40 cases, the control group was treated with the improved Miccoli surgery, while the observation group was combined with nano-carbon tracer injection on the basis of the control group .postoperative indicators, lymph node dissection, lymph node metastasis rate, misresection rate of parathyroid gland, parathyroid hormone, changes of serum calcium and postoperative complications were compared between the two groups. Results: There was no significant difference in the operative time, intraoperative bleeding volume, length of stay between the two groups(P＞0.05). The number of lymph node dissection in the observation group was more than the control group(P＜0.05). The misresection rate of parathyroid gland in the observation group was lower than those in the control group(P＜0.05). There was interaction between parathyroid hormone and blood calcium in the two groups. (P＜0.05). The postoperative complications in the observation group was lower than those in the control group(P＜0.05). Conclusion: The modified Miccoli procedure combined with nano-carbon tracer can alleviate thyroid injury and is safe and effective.
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2019, Vol. 25 
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