毒性结节性甲状腺肿的外科治疗(附66例报告)

目的总结毒性结节性甲状腺肿的治疗体会。方法对1990～2006年收治的66例毒性结节性甲状腺肿行手术治疗的临床资料进行回顾性分析。结果66例中42例采用硫脲类药物加碘剂进行术前准备,10例采用心得安加碘剂准备,14例单用碘剂准备。除1例病人因甲状腺癌外都采用甲状腺次全切除术,术后无甲状腺危象,无永久性喉返神经损伤及甲状旁腺功能减低等并发症。结论手术治疗毒性甲状腺肿是安全有效的,须行合理的术前准备及选择适当的手术方式。

Surgical treatment of toxic mUltinodular goiter - a report of 66 cases

Objective To summarize the experience of the surgical treatment of toxic multinodular goiter(TMNG).Methods Clinical data of 66 patients hospitalized with TMNG from 1990 to 2006 were reviewed.Results All patients were given with preoperative medical management,42cases with antithyroidal drugs and iodide solution,10 cases with hetablockers and iodide solution,14 cases with iodide solution only.All patients were treated surgically with subtotal thyroidectomy except one case for coexistent thyroid cancer.No pati ents developed thyroid crisis,permanent recurrent laryngdal nerve palsy and hypoparathyroididm postoperatively.Conclusion Surgical treatment is safe and effective for TMNC,and preoperative medical treatment and appropriate option of surgical procedure were required.