青少年原发性甲状腺机能亢进症的外科治疗

Surgical treatment of adolescent primary hyperthyroidism

目的:探讨青少年原发性甲状腺机能亢进症(甲亢)的治疗方法。方法:回顾分析1985年～1999年125例青少年原发性甲亢实施手术治疗的临床资料。结果:该组无1例死亡,5例术后出现一过性低钙血症,2例术中并发喉痉挛、窒息,经相应处理后,均痊愈出院。108例经1～12年随访,3例复发,余均情况良好。结论:手术治疗青少年原发性甲亢是一种安全、迅速、有效的方法,但需严格掌握手术指征。

Objective:To study the treatment of adolescent primary hyperthyroidism. Methods:Retrospective analysis of the clinical data of the adolescent primary hyperthyroidism treated by surgery was made in our hospital from January 1985 to December 1999. Results:In this series,there was no death,with 5 cases transient postoperative hypocalcemia and 2 had throat spasm and physoia. All the 7 cases recovered after treatment. 108 cases ( 86.4% ) were followed-up for 1-12years. of them,all were in good condition except 3 being recurred. Conclusions: Operative treatment for adolescent primary hyperthyroidisn is a safe,quick and effective method,but the operation indications should be good controlled.