摘要
目的：探讨结节性甲状腺肿术后复发的相关因素和应对策略,降低结节性甲状腺肿再手术率。方法回顾分析我院1998~2008年术后复发性结节性甲状腺肿45例的临床资料。结果结节性甲状腺肿术后复发与病变类型、手术方式选择及术后无规律TSH抑制治疗等密切相关。45例患者给予再次手术加甲状腺激素治疗后无一例复发。结论首次手术应重视术前检查和术中探查、正确选择手术方式及规范化术后辅助甲状腺激素替代治疗,可降低复发率。
Objective To analyzed the recurrent causes of nodular goiter after operation and management.Methods The data of 45 patients who sufferred from recurrent nodular goiter after operation between 1998-2008 were reviewed.Results The recurrent nodular goiter was related to the type of disease,surgical procedure and irregular TSH inhibition after operation.There was no recurrent case when 45 patients underwent reoperation and were treated with thyroxin.Conclusion Full examination before operation and careful exploration during operation shoud be done in first resection.Suitable surgical procedure and treatment with thyroxin after operation can decrease the recurrent rate.
出处
《岭南现代临床外科》
2010年第1期22-23,共2页
Lingnan Modern Clinics in Surgery
