再手术治疗复发性结节性甲状腺肿83例分析

目的:提高复发性结节性甲状腺肿再手术治疗的安全性,降低手术并发症发生率。方法:回顾性分析手术治疗83例复发性结节性甲状腺肿的临床资料。结果:10例出现并发症,其中并发暂时性喉返神经麻痹4例,暂时性低钙抽搐2例,甲状腺功能低4例,余73例无并发症。结论:复发性结节性甲状腺肿再手术是安全可行的,应重视术中细节处理,减少并发症的发生。

Analysis of reoperation therapy for recurrent tuberous strumous 83 casesLi Cheng-JiaAbstract Objective： To improve the security of recurrent tuberous strumous again, reduce surgery complications. Methods： Retrospectively analysis the surgical treatment of recurrent 83 cases nodular strttmous clinical data. Results There were 10 complications, including 4 cases recurrent laryngeal nerve palsy concurrent temporarily through 2 - 6 months pronunciation returned to normal. There were 2 cases suffered low calcium treated with intravenously added calcium gluconate, and symptoms disappeared after 1 week; There were 4 cases suffered low thyroid function treated with thyroxine piece 3 - 6 months. The rest of 73 cases are relief without complications. Conclusion The operation of recurrent tuberous strumous again is safe and feasible. We should value intraoperative detail processing and reduce complications.