甲状腺机能亢进症100例手术治疗体会

本文报告甲状腺机能亢进100例手术治疗体会。其中原发性甲亢92例，继发性8例。手术死亡率1％。作者提出游离甲状腺时，先处理甲状腺下极、中静脉及峡部；处理甲状腺上极血管前，先用“7”号丝线作引线，近心端结扎两次，然后钳夹间切断，收到满意效果。术中反复检查病人发音，特别对喉返神经解剖变异者更重要。术中使用电刀，出血少、速度快。术后小胶管闭合引流，有利于防止切口感染。

SURGICAL TREATMENT OF 100 CASES OF HYPTHYROIDISM

100 cases of hyperthyroidism, 92 cases of which were primary, were operated on with subtotal thyroidectomy. The operation mortality was 1%.During the operation, the author dissected the infra-pole, the thyreoidea media and the .isthmus first to free the whole gland, then the super-pole blood vessels were tied at their proximal portion with no.7 silk thread and then cut peripherally. The author used to examine patiants' pronounciation frequently during the operation to ensure that the laryngeus nerve, especially in cases of anatomic variation, will be protected. Electric scalpels -were used to make the operation fast and less blood-shed. A small Tubber drain was left on closing the wound.