甲状腺全切除治疗双侧结节性甲状腺肿

目的 探讨甲状腺全切除术治疗结节性甲状腺肿的安全性和临床意义.方法 对97例结节性甲状腺肿患者进行全甲状腺切除术,并对手术并发症进行分析.结果 88例首次行甲状腺全切除术者暂时性甲状旁腺功能低下及暂时性喉返神经损伤发生率分别为2.27%和1.14%;9例既往施行过甲状腺部分切除者上述并发症发生率分别为22.2%和22.2%,显著高于既往无甲状腺手术史者,差异均有高度统计学意义(均P<0.01),且手术难度增加.术后患者均未发生永久性甲状旁腺功能低下和永久性喉返神经损伤.结论 结节性甲状腺肿患者首次甲状腺全切除术安全可行,能避免组织残留所致病变复发,降低再手术率.

Total Thyroidectomy Performed for Multinodular Benign Goiter

Objective To investigate the safety and clinical significance of total thyroidectomy per-formed for multinodular goiter.Methods Ninety-seven patients with benign thyroid disease were treat-ed with total thyroidectomy.The postoperative complications were analyzed.Results With primary total thyroidectomy,the incidence of transient hypocalcemia and transient recurrent laryngeal nerve paralysis was 2.27% and 1.14%respectively.The incidence after reoperation was 22.2%(P<0.01) and 22.2%(P< 0.01) respectively,and ...