地方性甲状腺肿外科手术技术的改进  

A new improved technique of resection of endemic goiter

作　　者：闫朝岐[1] 范鹰[1] 张滨[1] 郑秋华[1] 孙振华[1] 

机构地区：[1]哈尔滨医科大学附属第二医院普外科,150081

出　　处：《中国地方病学杂志》2006年第2期196-197,共2页Chinese Jouranl of Endemiology

摘　　要：目的探讨地方性甲状腺肿的手术治疗方法。方法对2001-2003年间收治的239例地方性甲状腺肿患者的临床资料进行回顾性分析。结果 239例患者均行双侧甲状腺大部切除术,切除标本最大径平均为8．5 cm(5-13 cm),4例由于甲状腺巨大,横断一侧舌骨下肌群,置管引流,其余患者不切断舌骨下肌群、不放置任何引流物,无手术死亡病例。手术后出现声音嘶哑、饮水呛咳、暂时性低钙抽搐各2例,分别于术后 14、10、5、14 d恢复正常,其余患者无手术后并发症发生,55例随访1-2年,均达到临床治愈。结论对轻中度地方性甲状腺肿患者手术不切断舌骨下肌群、不放置任何引流物的方法是切实可行的。Objective To sum up the experience with resecting endemic goiter. Methods Clinical data of 239 patients of endemic goiter who received operation between 2001 and 2003 were analyzed, Results All the patients received bilateral subtotal thyroidectomy without drainage except 4 patients kept infrahyoid muscles integrated due to their huge sizes of thyroid gland. The largest averaging size of resected samples was 8.5 cm （5 - 13 cm）, and no death occurred. Postoperative hoarseness was seen in 2 patients, as well as drinking irritating and temporay hypocalcium tetany in 2 patients respectively, which recovered on day 14, 10, 5 and 14 after operation respectively. Following-up was conducted in 55 patients for 1 - 2 years and clinical cure was obtained in these cases. Conclusions It is feasible to keep infrahyoid muscles integrated without drainage in patients of endemic goiter of mild to moderate status.

关 键 词：甲状腺肿 地方性 外科手术 

分 类 号：R653[医药卫生—外科学]