| 甲状腺全切除术76例临床应用 |
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| 引用本文： | 何春兰,陈平,赵建国,喻学桥.甲状腺全切除术76例临床应用[J].中国现代普通外科进展,2009,12(7):573-575. |
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| 作者姓名： | 何春兰 陈平 赵建国 喻学桥 |
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| 作者单位： | 江苏省苏北人民医院,甲状腺乳腺外科,江苏,扬州,225001 |
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| 摘 要： | 目的:探讨多发性结节性甲状腺肿、Graves病、桥本甲状腺炎及分化型甲状腺癌的手术治疗方法.方法:回顾性分析甲状腺全切除手术76例患者的临床资料,从甲状腺切除范围、手术技巧、术中及术后并发症方面,探讨治疗甲状腺疾病的手术方式.结果:全组患者均接受双侧甲状腺全切术.首次手术患者64例,其中5例(7.8%)术后出现一过性或短期完全恢复的低钙血症,无喉返神经损伤病例;复发病例12例,其中4例(33.3%)患者发生一侧喉返神经受损并伴有暂时性甲状旁腺功能低下,其中一例患者发生永久性甲状旁腺功能低下.结论:双侧甲状腺全切术可作为多发性结节性甲状腺肿、Graves病、桥本氏甲状腺炎及分化型甲状腺癌常规手术方法.
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| 关 键 词： | 甲状腺全切除术 精细化被膜解剖法 甲状腺疾病 |
Explortation of the clinical application of total thyroidectomy |
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| HE Chun-lan,CHEN Ping,ZHAO Jian-guo,YU Xue-qiao.Explortation of the clinical application of total thyroidectomy[J].Chinese Journal of Current Advances in General Surgery,2009,12(7):573-575. |
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| Authors: | HE Chun-lan CHEN Ping ZHAO Jian-guo YU Xue-qiao |
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| Institution: | Yangzhou 225001;China |
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| Abstract: | Objective:To discuss the method of surgery treatment for nodular goiter,Graves disease,Hashimoto thyroiditis and differentiated thyroid carcinoma. Methods:A retrospective analysis of the clinical records of 76 patients undergoing total thyroidectomy was analyzed for the method of surgery treatment for thyroid diseases from resection extent,operative techniques,intraoperative and postoperative complications. Results:Five patients(78.4%)of all the patients accepted total thyroidectomy in first operation had t... |
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