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甲亢术后复发再次手术处理探讨
引用本文:蔡水理,蔡宝军,赖钻星. 甲亢术后复发再次手术处理探讨[J]. 中国医师杂志, 2006, 0(Z1)
作者姓名:蔡水理  蔡宝军  赖钻星
作者单位:广东省肇庆市端州红十字会医院普外科 广东肇庆526040
摘    要:目的探讨甲状腺机能亢进症(甲亢)术后复发再次手术的选择,手术要点,副损伤的预防及治疗效果。方法回顾总结本院1992年12月~2005年12月,103例甲亢术后复发行再手术病例。结果本组病例行再手术治疗,不需输血,无1例并发甲状腺危象,无喉返神经损伤,术中出现气管痉挛3例,暂时性甲状腺机能低下10例,随访82例,无甲亢再复发,无甲状腺机能减退。结论甲亢术后复发再次手术疗效确切。

关 键 词:甲状腺机能亢进症  甲状腺切除术  复发  再手术

Study on the reoperation of patients with hyperthyroidism recurrence
CAI Shui-li,CAI Bao-jun,LAI Zuan-xing. Study on the reoperation of patients with hyperthyroidism recurrence[J]. Journal of Chinese Physician, 2006, 0(Z1)
Authors:CAI Shui-li  CAI Bao-jun  LAI Zuan-xing
Affiliation:CAI Shui-li,CAI Bao-jun,LAI Zuan-xing.Department of Surgery,Red Cross Hospital of Duanzhou District,Zhaoqing 526040,China
Abstract:Objective To explore the surgical therapy features of patients with hyperthyroidism recurrenceMethods Retrospective analysis 103 cases of hyperthyroidism recurrence(December 1992 to December 2005).Results There were 10 cases with transient hypothyroidism,3 cases with trachea convulsion during the operation,none with thyroid storm, none case with injury of recurrent laryngeal nerve in our reoperation groups.There was 0 case with hyperthyroidism recurrence and hypothyroidism in the 82 cases of follow-up visit.Conclusion Reoperation therapy had a good effect for patients with hyperthyroidism recurrence.
Keywords:Hyperthyroidism  thyroidectomy  Recurrence  Reoperation
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