49例甲状腺疾病手术治疗临床观察

目的探讨外科手术治疗甲状腺疾病临床效果。方法回顾性分析本院2008年3月～2011年5月行外科手术治疗甲状腺疾病患者49例的临床治疗资料及随访观察结果。结果49例患者均顺利度过围术期，康复出院；无术中死亡，甲状腺危象及窒息等发生；7例患者术后出现并发症，其中，切口感染3例，术后出血1例，声音嘶哑1例，手足抽搐2例；术后随访2～3年，所有患者均得到随访，随访率为100％；2例患者出现复发，行二次手术，其中，髓样癌1例，乳头状癌1例。结论外科手术是临床治疗甲状腺疾病特别是甲状腺肿瘤的有效手段之一；术前准确诊断，术中严格遵循手术原则及熟练操作能够有效提高手术成功率，减少术后并发症，降低复发率。

Clinical observation of surgery in the treatment of thyroid disease in 49 cases

Objective To evaluate the clinical effect of surgery in the treatment of thyroid disease. Methods The clinical data of 49 patients with thyroid disease who were treated with surgery and follow-up observation results were analyzed retrospectively in our hospital from March 2006 to May 2008. Results Forty nine patients all lived the perioperative period successfully, who had no intraoperative deaths, thyroid storm and asphyxia. 7 cases had complications after surgery, among whom 3 cases of wound infection, 1 case of postoperative bleeding, 1 case of hoarseness, 2 cases of tetany were included. All patients were followed up for 2-3 years, the followed-up rate was 100%. 2 cases had recurrence and underwent secondary surgery, 1 case of medullary carcinoma and 1 cases of papillary carcinoma were included. Conclusion Surgical treatment is the effective method in the treatment of thyroid diseases especially for thyroid cancer in clinic. Accurate preoperative diagnosis, strictly following the surgical principle and proficient operation can effectively improve the success rate of surgery, reduce the postoperative complication and lower recurrence rate.