136例巨大结节性甲状腺肿手术结果分析  

An analysis of surgical treatment on 136 cases of enormous goiters

作　　者：王毓利[1] 王凤军[1] 周保国[1] 乔海泉[1] 

机构地区：[1]哈尔滨医科大学第一临床医学院普外科,150001

出　　处：《中国地方病学杂志》2007年第4期453-454,共2页Chinese Jouranl of Endemiology

基　　金：国家自然科学基金（30571615）

摘　　要：目的 分析巨大结节性甲状腺肿手术结果，探讨手术并发症的预防和治疗。方法 采用回顾性分析方法．收集1991—2006年间在哈尔滨医科大学第一临床医学院普外科采用甲状腺大部切除术或甲状腺次全切除术的巨大结节性甲状腺肿患者的临床资料，分析手术并发症产生的原因。结果 巨大结节性甲状腺肿患者136例．术后发生喉返神经损伤5例（3．7％），切口内出血2例（1．5％），甲状旁腺损伤3例（2-2％），喉上神经损伤1例（0．7％）。结论 术前充分准备，选择合适麻醉方式，运用综合无血手术野操作，能够预防巨大结节性甲状腺肿手术并发症的发生。Objective To analyze the results of surgical treatment of enormous goiters and discuss the prevention and management of operational complications. Methods The clinical data of patients with enormous goiters receiving total or subtotal throidectomy in the department of general surgery, the first affiliated hospital, Harbin medical university from 1991 to 2006 were collected, the causes of operational complications were retrospectively analyzed. Results 136 cases undergoing subtotal or total thyroidectomy were enrolled. Complications occurred infrequently, including 5 cases（3.7%） injury of recurrent laryngeal nerve, 2 cases （1.5%） of postoperative hemorrhage inside incision, 3 cases（2.2%） of injury of parathyroid and 1 case（0.7%） of injury of superior laryngeal nerve. Conclusions Sufficient preparation, appropriate anesthetics and minimized bleeding in the surgical area could prevent the operational complications of enormous goiters.

关 键 词：甲状腺 结节性 甲状腺切除术 并发症 

分 类 号：R686[医药卫生—骨科学]