摘要
目的分析结节性甲状腺肿术后复发的相关因素,同时探讨如何避免再次手术术后并发症。方法选择2004～2009年于我院行手术治疗的257例结节性甲状腺肿患者,105例行甲状腺次全切术,152例行甲状腺全切除术,术后平均随访48个月。结合患者的临床资料进行统计分析。结果随访过程中有63例复发,统计分析结果显示,首次手术行甲状腺次全切除术较行全切除术术后更易复发。复发患者均再次手术,46例术中解剖保护喉返神经,术后未出现喉返神经损伤症状;17例术中未保护喉返神经,术后有3例出现喉返神经损伤症状,分析认为术中保护喉返神经可有效防止喉返神经损伤。结论甲状腺全切除术可有效降低结节性甲状腺肿的复发,再次手术术中保护喉返神经可有效防止喉返神经的损伤。
Objective To analyze the related factors of recurrence in patients with nodular goiter,and to investigate the prevention of complications of reoperation. Methods Retrospectively analysis 257 patients of nodular goiter who were operated in our hospital from 2004 to 2009. 105 cases were operated by subtotal thyroidectomy,and 152 cases were operated by total thyroidectomy. The average follow up was 48 months. Results There were 63 cases relapsed during following up. Statistical results suggested that subtotal thyroidectomy was related to the recurrence of the disease. All of the recurrent patients were operated again. No Laryngeal recurrent neu- ral injury was found in 46 cases whose Laryngeal recurrent neural were exposed and protected during operation,while 3 cases were injured in 17 cases whose Laryngeal recurrent neural were not exposed and protected. The statistical results suggested that the protection of Laryngeal recurrent neural during operating could effectively avoid the injury of Laryngeal recurrent neural. Conclusion Total thyroidectomy can reduce recurrence of the thyroid nodule. The protection of Laryngeal recurrent neural during operating could effectively avoid the injury of Laryngeal recurrent neural.
出处
《中国现代医生》
2011年第11期107-108,共2页
China Modern Doctor
