甲状腺次全切除术术后并发症分析

An analysis of the complications of sub-total thyroidectomy for thyroidism

目的:总结甲状腺次全切除术治疗甲状腺机能亢进症的经验,并讨论术后并发症的预防。方法:回顾分析了1985年1月～2001年12月间收治的612例甲状腺机能亢进症患者行甲状腺次全切除术后的并发症情况。结果:术后长期并发症发生率为1.79％。其中持续性喉返神经麻痹7例（1.14％）;持续性甲状腺功能减退4例（0.65％）;术后出血5例（0.82％）,死亡1例（0.16％）;术后甲亢复发13例（2.12％）。结论:通过术中细致操作可减少术后并发症的发生。

Objective: To report the experience of application of sub-total thyroidectomy for the patients with hyperthyroidism and to discuss how to prevent complications after the surgical operation. Methods: 612 cases of subtotal thyroidectomy in patients of hyperthyroidism from January 1985 to December 2001 were collected and the postoperative complications were analyzed. Results: Long term complication rate was 1.79% , incidence of recurrent laryngeal nerve paralysis was 1. 14% and hypothyreosis was 0. 65% . Postoperative bleeding was 0. 82% , one died (0. 16%). The rate of recurrence was 2. 12%. Conclusion: The complications of sub-total thyroidectomy for hyperthyroidism can be controlled by a delicate surgical procedure.