甲状腺一叶全切加对侧大部切除术治疗甲状腺功能亢进的临床评价

目的　探讨甲状腺一叶全切加对侧大部切除术治疗甲状腺功能亢进症 (甲亢 )的可行性。方法　将 12 1例接受手术治疗的甲亢患者分为两组 :甲组 67例 (其中 13例有甲状腺结节 )作甲状腺一叶全切加对侧大部切除术 ;乙组 5 4例作双侧甲状腺大部切除术。结果　甲组手术时间为 (12 8±16)min ,乙组 (174± 2 3 )min(P <0 .0 1) ;术中出血量甲组为 (74± 14 )ml ,乙组 (12 7± 2 3 )ml(P <0 .0 1)。两组的手术并发症无统计学差异 (P >0 .0 5 )。所有患者均治愈。两组患者全部获随访 15～61个月 ,均治愈 ,随访期间无甲亢复发或甲状腺功能减退发生。结论　治疗甲亢采用甲状腺一叶切除加对侧大部切除术优于双侧大部切除术。

Evaluation of the effect of one side lobectomy plus opposite side partial lobectomy in the treatment of hyperthyroidism

Objective To explore the availability of one side lobectomy and opposite side subtotal lobectomy in the treatmend of hyperthyroidism. Methods One handred and tweenty-one patients with hyperthyroidism were divided into two groups.(1)Group A sixty-seven patients,including 13 patients with thryoid nodure, were received one side lobectomy and opposite side partial lobectomy.(2)Group B,54 patients were received conventional bilateral subtotal thyroidectomies . Results All patients recovered smothly , There were no significant difference in surgical complication between two groups( P >0.05) . Operation time and bleeding in group A were significantly less than those in group B( P <0.01). All patients have been followed for 15-61 months after operation,neither hyperthyroidsm reccurred nor hypothyroidsm occurred in both groups. Conclusions One side lobectomy plus opposite side partial lobectomy is superior to conventional bilateral subtotal thyroidectomy in the treatment of hyperthyroidsm.