甲状腺次全切除术411例临床分析

目的：探讨甲状腺功能亢进症手术病人的手术指征、手术方法及并发症的防治。方法：回顾总结1994年6月至2000年6月间411例甲状腺次全切除术的临床资料。结果：无手术死亡及永久性副损伤，共出现暂时性并发症43例，占10．46％，甲亢复发3例，占0．73％。结论：甲亢手术疗效确切，手术指征可适当放宽，术前准备以T3、T4值来判断甲状腺功能指标。术中操作轻柔、紧贴腺体或囊内结扎血管、切除时保留后、外包膜及适量甲状腺组织，有助于减少并发症的发生。

Clinical Analyse of 411 Cases Treated with Subtotal Thyr oidectomy

Objective: To study the indications and operation methods of patients with hyperthyroidism, and the prevention of operative complications.Methods: We retrospectively analysed the clinical data and postoperative complications of 411 patients treated with subtotal thyroidectomy from June 1994 to June 2000.Results: There were transient complications occurring in 43 cases ( 10.46% ), recrudesces of hyperthyroidism in 3 cases (0.73%) and no operative death or permanent damage.Conclusion: To operate on patients with hyperthyroidism is an effective method, so the operation indications can be broadened. Evaluation of thyroid functions for preoperative preparation can be made by measuring T 3, and T 4 values. Acting gently during operation, ligating blood vessels just close to gland or in sac, preserving external and posterior part of capsule and appropriate thyroid tissue are helpful in minimizing the incidence of complications.