192例甲状腺机能亢进症的手术治疗体会

目的 探讨甲状腺次全切除术中技术要点及其术后并发症的防治方法。重点讨论甲状旁腺及喉返神经的保护。方法 对192例甲状腺机能亢进症病人进行甲状腺次全切除术，对术后并发症进行观察。结果 暂时性单侧喉返神经损伤的发病率为1．04％，暂时性甲状旁腺功能低下发生率为o．52％。结论 改良的甲状腺次全切除术术后并发症发生率，明显低于献中报道的发生率。

Analysis of operative treatment for hyperthyroidism: A report of 192 cases

AIM To discuss the operative details in order to decrease the clinical complications after subtotal thyroidectomy, especially how to preserve parathyroid gland and recurrent laryngeal nerve. METHODS The study 192 hyperthyroidism cases after subtotal thyroidectomy to observe the postoperative complications. RESULTS Incidence of transient recurrent laryngeal nerve paralysis was 1 04% and incidence of transient hypocalcemia was 0 52%. CONCLUSION Postoperative complications can be controlled.