甲状腺大部切除术临床疗效分析

Subtotal thyroidectomy Clinical Analysis

目的:探讨甲状腺大部切除术治疗良性甲状腺疾病的临床疗效。方法:回顾性分析2005～2007年间收治的120例甲状腺疾病患者术后的临床资料。结果:原发性甲状腺功能亢进症43例、弥漫性甲状腺肿10例、结节性甲状腺肿52例、甲状腺瘤15例患者,术后病情均减轻,其中4例患者出现并发症,占总体的3.3%,1例患者喉返神经损伤,2例患者暂时甲状腺功能低下,甲状腺断面线结脱落引发再出血2次手术2例,且术后的两年间,无病情复发。结论:采用甲状腺大部切除术来治疗良性甲状腺疾病,能明显减轻手术损伤,缩短手术时间,降低并发症的发生率,治疗效果好,提高术后主观满意度,是临床治疗良性甲状腺疾病的理想方法。

Objective：To explore the subtotal thyroidectomy for benign thyroid diseases in clinical efficacy. Methods：Retrospective analysis between 2005 and 2007 treated 120 cases of thyroid disease in patients with postoperative clinical data. Results：43 patients with primary hyperthyroidism, diffuse goiter in 10 cases, 52 cases of nodular goiter, thyroid tumors in 15 patients, postoperative condition were reduced, in which complications occurred in 4 cases of patients, accounting for 3.3% overall and 1 laryngeal anti-nerve injury patients, 2 patients a temporary low thyroid function, thyroid sections knot off two surgeries lead to a further two cases of bleeding, and after two years without relapse. Conclusion： The most cutting for the treatment of benign thyroid thyroid disease, can significantly reduce the surgical injury, shorten operative time, reduce the incidence of complications, treatment is good, increase the postoperative subjective satisfaction, clinical treatment of benign thyroid disease is an ideal way.