甲状腺结节外科治疗112例临床分析

Surgical procedures for thyroid nodules:report of 112 cases

目的:总结甲状腺结节的外科治疗经验。方法:对行外科手术治疗的112例甲状腺结节患者的临床资料及随访结果进行回顾性分析。结果:112例均治愈。术后出现暂时性手足麻木6例;出现声音嘶哑4例,其中暂时性声音嘶哑3例;术后皮下出血1例;术后复发4例。结论:术前应明确甲状腺结节的手术指征,术中根据患者具体情况合理选择手术方式并遵循甲状腺结节外科治疗原则,能有效减少甲状腺疾病患者的手术并发症和复发,改善预后。

Objective： To explore the surgical indications of thyroid nodules and to summarize the experience in treating thyroid nodules. Methods：The clinical data and follow-up results of 112 patients with thyroid nodules who had received surgical treatment between Jan. 2001 and Jun. 2005 were analyzed retrospectively. Results：Temporary deadlimb was noted in 6 cases, cerchnus in 4 cases and 3 of them were temporary cerchnus, subcutaneous hemorrhage was observed in 1 patient and recurrence in 4 cases. Conclusions ： Surgical indications of thyroid nodules should be identified before surgery. Reasonable surgical procedures should be chosen according to the condition of the patients, which may reduce the operation complications and the recurrence rate, and improve the prognosis of patients with thyroid nodules them.