甲状腺功能亢进手术治疗的过去、现在和未来

Surgical Treatment of Hyperthyroidism in the Past,Present and Future

在我国,手术治疗甲亢的地位可谓一波三折。从早期占主导地位,到沦落为从属地位,到现在与抗甲状腺药物(ATD)治疗和131I治疗共为治疗甲亢的主要方法。随着ATD和131I治疗甲亢的一些问题不断浮出水面,特别是手术技巧的进步和外科设备的更新,只要严格掌握手术指征、完善术前准备及精准手术操作等,在可以预见的未来,手术不仅是甲亢不可或缺的重要治疗方法,更是治愈甲亢最快速最安全的方法。本文仅从手术适应证、手术条件、麻醉与手术方式、并发症预防等方面浅析甲亢手术的过去、现在及未来,愿为重新认识手术在甲亢治疗中的作用抛砖引玉。

In China, the status of surgical treatment of hyperthyroidism twists and turns, from the early dominance declined to a subordinate position, and now with ATD and 131 I together as Troika in therapy for hyperthyroidism. With the application of ATD and 131 I therapy for hyperthyroidism some issues continue to emerge, especially with the advances of surgical techniques and equipment updates, as long as strictly implement surgical indications, preoperative preparation and perfect precision of surgical operations, etc, in the foreseeable future, surgery is not only an indispensable treatment of hyperthyroidism, but also fastest safest way to cure hyperthyroidism. This paper only preliminary analyze the surgical indications, surgical conditions and surgical procedures, complications, prevention, etc on hyperthyroidism surgery in the past, present and future. Wish attracting valuable opinions on rediscovering the effects of surgery in the treatment of hyperthyroidism.