130例结节性甲状腺肿手术治疗的临床疗效研究

目的：探讨分析结节性甲状腺肿外科手术治疗的临床疗效。方法：回顾性分析2008年1月～2011年4月于本院普外科采用手术治疗结节性甲状腺肿的130例患者的临床资料,分析其术后恢复情况、并发症、复发情况等临床资料。结果：术前B超检查结果示双侧病变109例（83.8%）,单侧病变21例（16.2%）,合并甲状腺功能亢进者8例（6.2%）;因复发需要再次行手术治疗者6例（4.6%）。术中出血量少,未出现甲状腺危象、喉神经损伤等严重手术并发症。结论：目前手术治疗为结节性甲状腺肿的主要外科治疗手段,但因其复发率较高,应严格掌握其手术指征,其术式及远期疗效还有待进一步探讨。

Clinical efficacy investigation of 130 cases of nodular goiter underwentsurgery treatment

Objective：To investigate the clinical efficacy of nodular goiter underwent surgery treatment.Methods：A total of 130 consecutive patients were enrolled from January 2008 to April 2011 in the study.The recovery condition,complications,relapse were studied retrospectively.Results：Bilateral diseases were 109 cases（83.3%）,unilateral diseases were 21 cases（16.2%）,ones complicated with hyperthyroidism were 8 cases（6.2%） which were detected with B ultrasound.The ones needs another surgery were 6 cases（4.6%）.Less peri-operative bleeding,did not appear thyroid crises laryngeal nerve injury,serious complications.Conclusion：Surgery treatment is still recognized as the main treatment of nodular goiter,while the high relapse rate is suggested obviously.Thus,the indications and further efficacy should be investigated furthermore.