并发甲亢乳腺癌的围手术期处理

Perioperative Treatment of Breast Carcinoma Complicated with Hyperthyroidism

目的:探讨并发甲亢乳腺癌的围于术期甲亢的处理和治疗,以及甲亢和乳腺癌的关系。方法:对21年间51例并发甲亢乳腺癌的围于术期甲亢的处理和治疗进行回顾性分析。结果:49例未出现甲亢相关并发症,仅2例出现甲状腺危象和甲状腺危象相似的临床表现,全组无手术死亡。结论:并发甲亢的乳腺癌手术前,若甲亢症状明显,应首先进行甲亢的手术治疗,待基础代谢率正常后再行乳腺癌手术;若无甲亢症状,在控制心率的前提下可直接行乳腺癌手术。

Objective To study the methods of the perioperative treatment of breast carcinoma complicated with hyperthy-roidism. Methods: The perioperative treatment of 51 cases of breast carcinoma complicated with hyperthyroidism was studied retrospectively in the period of 21 years. Results: Hyperthuroidism was treated by surgical methods or medical methods in the perioperation. 49 patients didn't appear any correlative postoperative complications about hyperthyroidism , and 2 patients complicated with postoprative thyroid crisis or appeared clinical signs similar to ones of thyroid crisis, and no death happened. Conclusion: If the clinical symptoms of the hyperthyroidism existed before operation of breast carcinoma complicated with hyperthyroidism , the hyperthyroidism should be treated preoperatively at first by surgical methods, then the breast carcinoma can be treated by surgical methods. If the clinical symptoms of the hyperhtyroidism don't exist, there is not special periopertive treatments of breast carcinoma .