甲状腺功能亢进症的外科治疗与并发症预防

Surgical treatment and prevention of complications of hyperthyroidism

目的 探讨甲状腺功能亢进症的外科手术治疗及术后并发症的防治.方法 回顾性分析79例甲状腺功能亢进症行甲状腺次全切患者的临床资料.结果 术后出现并发症6例,其中呼吸困难1例,声音嘶哑2例,暂时性甲状旁腺功能低下1例.随访16个月至3年,有2例发生甲状腺功能低下,经治疗后甲状腺功能恢复正常.全组无死亡、永久性甲状旁腺功能低下、复发病例.结论 外科手术是治疗甲状腺功能亢进症的最佳方法,注重围手术期的处理,能够有效地防止手术并发症的发生,提高手术成功率.

Objective To explore the prevention and treatment of surgical operation treatment and postoperative hyperthyroidism complications.Methods A retrospective analysis of 79 cases of hyperthyroidism was underwent subtotal thyroidectomy in patients with clinical data.Results 6 cases had complications after operation,including 1 cases of dyspnea,2 cases of hoarseness,1 cases of temporary hypoparathyroidism.Follow up of 16 months to 3 years,there were 2 cases of hypothyroidism,thyroid function recovered to normal after treatment.In this group,there was no death,no permanent hypoparathyroidism,no recurrence.Conclusion Surgical operation is the best method to treat hyperthyroidism.Focusing on the treatment of perioperation period can effectively prevent the operation complications andimprove the success rate of operation.