摘要
目的:探讨多发性结节性甲状腺肿、Graves病、桥本甲状腺炎及分化型甲状腺癌的手术治疗方法。方法:回顾性分析甲状腺全切除手术76例患者的临床资料,从甲状腺切除范围、手术技巧、术中及术后并发症方面,探讨治疗甲状腺疾病的手术方式。结果:全组患者均接受双侧甲状腺全切术。首次手术患者64例,其中5例(7.8%)术后出现一过性或短期完全恢复的低钙血症,无喉返神经损伤病例;复发病例12例,其中4例(33.3%)患者发生一侧喉返神经受损并伴有暂时性甲状旁腺功能低下,其中一例患者发生永久性甲状旁腺功能低下。结论:双侧甲状腺全切术可作为多发性结节性甲状腺肿、Graves病、桥本氏甲状腺炎及分化型甲状腺癌常规手术方法。
Objective： To discuss the method of surgery treatment for nodular goiter, Graves disease, Hashimoto thyroiditis and differentiated thyroid carcinoma. Methods： A retrospective analysis of the clinical records of 76 patients undergoing total thyroidectomy was analyzed for the method of surgery treatment for thyroid diseases from resection extent, operative techniques, intraoperative and postoperative complications. Results： Five patients （78.4%）of all the patients accepted total thyroidectomy in first operation had transient or short-term completely recovered hypocalcemia postoperatively,and there were no cases with injury of recurrent laryngeal nerve. 4 patients （33.3%） had one-sided recurrent laryngeal nerve injury and temporary hypoparathyroidism in recurrent patient, and one of the cases had permanent hypoparathyroidism. Conclusion： Total thyroidectomy could be served as the routine operative method for multinodular goiter, Graves disease, Hashimoto thyroiditis and differentiated thyroid carcinoma.
出处
《中国现代普通外科进展》
CAS
2009年第7期573-575,共3页
Chinese Journal of Current Advances in General Surgery
作者简介
何春兰（1969—04-），女，江苏泰兴人，副主任医师，研究方向：甲状腺、乳腺疾病的临床与基础。Tel：13951059910,E—mail：zhgyzhel@yahoo．com．cn．
