甲状腺次全切除术的治疗分析及并发症的预防

Complication Prevention and Analysis on Sub-total Thyroidectomy

目的:探讨甲状腺功能亢进次全切除术的治疗方法及并发症的预防。方法:回顾性分析120例因甲状腺功能亢进行甲状腺次全切除术的临床资料,探讨术后并发症的发生原因和预防措施。结果:患者全部治愈出院,无甲状腺危象、声音嘶哑等严重并发症发生。结论:严格做好术前准备,术中操作轻柔,彻底止血,囊内结扎甲状腺上、下极血管,并根据中毒症状、病程长短、年龄、腺体的大小决定保留腺体数量,有助于进一步减少并发症,提高治愈率。

Objective： To study the prevention of complication and therapy in sub -total thyroidectomy. Method： We reviewed the datas of 120 eases hyperthyroidism with sub -total thyroidectomy, to explore the causes and prevention of the complication. Result： All the patients were discharged after they were cured. There＇s no complication of thyroid crisis and hoarseness. Conclusion： It can reduce the complication and improve the cure rate with good preparation before operation, ligating thyroid blood vessel intracansular. We reserved some of the gland according to the toxic symptom, history, age and the size of gland.