摘要
目的总结毒性结节性甲状腺肿的治疗体会。方法对1998年12月～2007年8月收治的24例毒性结节性甲状腺肿行手术治疗的患者的临床资料进行回顾性分析。结果24例中6例采用硫脲类药物加碘剂进行手术前准备,4例采用心得安加碘剂准备,14例单用碘剂准备。所有病例都采用甲状腺次全切除术,术后无甲状腺危象,永久性喉返神经损伤及甲状旁腺功能减低等并发症。结论手术治疗毒性结节性甲状腺肿是安全有效的,需行合理的术前准备及选择适当的手术方式。
Objective To summarize the experience of the surgical treatment of toxic muhinodular goiter（TMNG）.Methods Clinical data of 24 patients hospitalized with TMNG from December 1998 to August 2007 were reviewed.Results All patients were given with preoperative medical management,6 cases with antityroidal drugs and iodide solution,4 cases with betablockers and iodide solution, 14 cases with iodide solution only. All patients were treated surgically with subtotal thyroidectomy No patients developed thyroid crisis Permanent recurrent laryngeal nerve palsy and hypoparathyroidism after operation. Conclusion Surgical treatment was safe and effective for TMNG, and preoperative medical prepare and appropriate option of surgical procedure were required.
出处
《基层医学论坛》
2008年第4期115-117,共3页
The Medical Forum
