结节性甲状腺肿的外科治疗（附210例报告）

目的探讨结节性甲状腺肿的外科治疗体会。方法回顾性分析我院210例结节性甲状腺肿手术患者的临床资料。结果全部病例行结节摘除术、甲状腺部分切除、次全切除或全切除术。均术程顺利，未发生伤口感染、出血，术后无声嘶及呼吸困难等，未出现喉返神经、喉上神经损伤和喉头水肿等并发症。治愈153例（72．86％），好转44例（20．95％），总有效率为93．81％。随访130例，复发4例（3．08％）。结论外科手术是治疗结节性甲状腺肿的有效手段，适当的术式选择是减少复发的关键。

Experience of Surgical Treatment on Nodular Goiter(A Report of 210 Cases)

Objective To explore the experience of surgical treatment on nodular goiter. Methods To analyze the clinical data of 210 cases of nodular goiter patients retrospectively. Results All the cases underwent enucleation nodules, thyroid partial resection, subtotal resection or total resection. All patients had surgery process smoothly and hadn＇t significant complications occurred. There were 153 cases cured （72.86%）, 44 cases improved （20.95%）, and the total effective rate was 93.81%. We followed up 130 cases, there were 4 cases recurrenced（3.08%）. Conclusions Surgical treatment on nodular goiter is an effective means.The appropriate surgical option is the key to reduce the recurrence.