| Abstract: | Long term results of surgical treatment of271 cases of thyrotoxicosis treated in the P'eo-pIe's HosDital of Beijing Medical College from1960 through 1976 are evaluated. There were206 female.s and 65 males with ages rangingfrom 15 t0 66 years. 218 (80.4%) were primaryhyperthyroidism and 53 (19.6%) toxic nodula.rgoiter. There was no operat.ive mortality. Post-operative respiratory distres.s requiring tracheo-stomy occurred in 8, all recovered without se-quelae after decanalizat.ion. Thyroid crisis wasencountered in 3 and all were curetl. 247.(91.9%) wcre followed up to December 1979, anaverage 9 year follow up period. Of 247, per-manent vocal paralysis developed in 3 (1.1'10)and permanent tetany in 3 (1.1'10) others. Dur-ing follow up the recurrence rate of hyper-thyroidism was 2.1% and the inc;idence of hy-pothyroidism 0.8%, giving a cure rate of 97.170.In correlating the final re,sults of surgical treat-ment with the amount of thyroid gland preserv-ccl after resection, it was found that a preserva-t.ion of 3-5 gm in all of the thyroid tissue, or3-6170 0f its original weight, gave the bestresults. From this analysis, it is concluded thatsurgical treatment is the method of choicefor thyrotoxicosis. |
