甲状腺大部分切除术的改进

Significance of preserving superior pole and/or blood vessel thyroid in subtotal thyroidectomy

目的 探讨缩小甲状腺大部分切除术范围的技术改进的意义。方法 比较 30例保留甲状腺上极、2 0例保留甲状腺上极又保留甲状腺腺血管的甲状腺大部分切除术治疗甲状腺良性病变与同期传统手术方法治疗 5 0例的并发症发生率、出血量、手术时间及术后复发率。结果 缩小甲状腺大部分切除术范围的改进术式的手术并发症明显减少、出血量差异不显著、手术时间缩短、结节性甲状腺肿术后复发率减低。结论 保留甲状腺上极或保留上极又保留甲状腺血管的甲状腺部分切除术是治疗甲状腺良性病变较好的术式选择。

Objective To investigate the significance of reducing the extent of subtotal thyroidectomy.Methods We analyzed the differences of complication incidences,hemorrhage volume,operative time and the postoperative recurrence rate between 50 cases treated with traditional approach and 50 cases treated with subtotal thyroidectomy(30 of them preserve superior pole of thyroid and 20 cases of them preserve both superior pole and the blood vessel of thyroid).Results The latter reduced the surgical complications,operative time and the postoperative recurrence rate of nodular goiter.Conclusion It is a better choice that the application of preserving superior pole of thyroid in subtotal thyroidectomy on thyrophyma and preserving both superior pole and blood vessel of thyroid in thyroidectomy on nodular goiter.