原发性甲状腺机能亢进并重度甲状腺肿大的外科治疗

目的 总结我院12年间收治32例原发性甲亢病(Graves'病)并重度甲状腺肿大的围手术期处理和手术经验.方法 对在门诊控制甲亢治疗阶段、围手术期间的处理、手术方式和术后并发症等进行评价.结果 本组无死亡病例,术后并发症发生率为23.8%,其中术后并发呼吸道梗阻和暂时性低血钙各2例,轻度甲低3例.结论 重度肿大的Graves'病患者手术治疗具有疗效确切、技术要求高,有潜在的高并发症或高风险的特点.充分的术前准备和良好的麻醉以及手术者良好手术操作技巧,术后严密观察和并发症的及时处理,可降低或避免严重并发症的发生.

Surgical management of the Graves' disease with severe thyroid gland enlargement

Objective To study the perioperation management and surgical therapy of Graves' disease accompanied with severe thyroid gland enlargement. Methods 32 cases of Graves' disease with severe thyroid gland enlargement were included in our study and their symptom control, perioperation management, surgical therapy and postoperative complication treatment were analysed retrospectively. Results There was no surgical death among the 32 patients. The incidence of postoperative complications was 21.9%. And among them, 2 cases had respiratory tract obstruction, 2 cases temporary hypocalcemia and 3 cases mild hypothyroid. ConclusionFor Graves' disease, surgical therapy has a satisfactory effect but a higher incidence of complication.