巨大甲状腺肿临床诊治体会

【摘要】〓目的〓总结巨大甲状腺肿围手术期处理的经验。方法〓回顾性分析总结我院甲状腺专业组2011年1月~2014年6月收治的67例巨大甲状腺肿患者的临床资料,所有患者均采用手术治疗,分析和总结临床疗效、手术治疗相关要素和手术要点。结果〓67例均顺利行手术治疗并康复出院,3例出现暂时性喉上神经麻痹,5例出现低钙血症,随访3个月均恢复正常。术后病理报告显示:34例为毒性弥漫性甲状腺肿,23例为结节性甲状腺伴纤维化、钙化,3例为毒性结节性甲状腺肿,3例为结节性甲状腺肿并慢性甲状腺炎,2例为甲状腺滤泡性腺癌,2例为甲状腺高功能腺瘤。结论〓个体化的术前准备、轻柔精细的解剖操作,是手术成功的重要因素。

Clinical diagnosis and treatment experience of large goiter

Objective To review the experience of perioperative management for large goiter disease. Methods Sixty-seven cases with large goiter from January 2011 to 2014 June were analyzed retrospectively. All patients were performed surgical treatment under general anesthesia. Results All operation were completed smoothly and the patients got recovery..Temporary functional disorder of nervus laryngeus superior appeared in 3 cases,and hypocalcemia appeared in 5 cases..The complications were getting good in 3 months after operation..The pathological results of 34 cases showed Graves’ disease, 23 cases nodular goiter with fibrosis and calcification, 3 cases toxic nodular goiter; 3 cases nodular goiter with chronic thyroiditis, 2 sases thyroid follicular carcinoma, 2 cases thyroid adenoma..Conclusion The key factors for the operation are associated with sufficient preoperative preparation, good surgical exposure and fine operation.