全甲状腺切除术治疗甲状腺癌适应证选择及并发症防治

全甲状腺切除术治疗甲状腺癌今年报道较多，但其临床应用难度大，并发症多，素来存在争议。国外随着手术技术之进步，全甲状腺切除术应用适应证不断扩展，国内指南应根据地区实际情况、个体化原则，衡量外科手术风险性和彻底性进行选择。以减少甲状腺癌术后复发或转移为前提，同时预防全甲状腺切除术并发症发生，保证病人术后生活质量。

Surgical indication selection and complication prevention of total thyroidectomy for thyroid carcinoma

Applying the total thyroidectomy to treat thyroid carcinoma is commonly difficult,associated with complicated procedures and postoperative complications.Therefore,it is still controversial.As the development of the modern technologies,the indication for total thyroidectomy is expanding in foreign countries.However,the treatment guideline should be considered according to the local condition,individual therapy,and the operative balance between risk and necessity in China.The overall consideration is to reduc...