甲状腺全切除术治疗甲状腺良性疾病  

Total Thyroidectomy for Benign Thyroid Disease

作　　者：苏清华[1] 潘小明[2] 吴宣林[1] 

机构地区：[1]西安交通大学第二医院普通外科,西安710004 [2]西安交通大学校医院外科,西安710049

出　　处：《中国普外基础与临床杂志》2004年第6期493-495,共3页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的　探讨甲状腺全切除术治疗甲状腺良性疾病的安全性和临床意义。方法　对 88例甲状腺良性疾病患者进行甲状腺全切除术 ,并对手术并发症进行分析。结果　首次甲状腺全切除术暂时性甲状旁腺功能低下和暂时性喉返神经损伤的发生率分别为 2 .5 %和 1.2 % ,再次手术的并发症明显增高 ,分别为 2 8.6 % (P<0 .0 5 )和2 8.6 % (P<0 .0 1)。术后患者均未发生永久性甲状旁腺功能低下和永久性喉返神经损伤。结论　首次甲状腺全切除术安全可行 ,能避免因组织残留所致的病变复发 。Objective To investigate the safety and clinical significance of total thyroidectomy performed for benign thyroid disease. Methods Eighty-eight patients with benign thyroid disease were treated with total thyroidectomy. The postoperative complications were analyzed. Results With primary total thyroidectomy, the incidences of transient hypocalcemia and transient recurrent laryngeal nerve paralysis were 2.5% and 1.2% respectively. The incidences after reoperation were 28.6%( P <0.05)and 28.6%( P <0.01)respectively. No patients had permanent hypoparathyroidism and permanent recurrent laryngeal nerve injury. Conclusion Total thyroidectomy can be performed safely. It can avoid reoperation for the recurrence caused by the remainder thyroid.

关 键 词：甲状腺全切除术 治疗 甲状腺良性疾病 安全性 手术并发症 

分 类 号：R653[医药卫生—外科学]