结节性甲状腺肿73例临床分析  

Analysis of nodular goiter:a report of 73 cases

作　　者：王海[1] 朱兆红[1] 马良龙[1] 姜连春[1] 崔经建[1] 

机构地区：[1]安徽省淮北市人民医院普外科,235000

出　　处：《蚌埠医学院学报》2010年第6期607-608,共2页Journal of Bengbu Medical College

摘　　要：目的：探讨结节性甲状腺肿的临床诊断和治疗方法。方法：73例结节性甲状腺肿患者术前均行颈部B超检查,术中及术后病理诊断为结节性甲状腺肿。全部接受手术治疗。结果：73例术后1－3年有11例复发,其中7例经二次手术治疗痊愈,4例未行手术。术后出现声音嘶哑4例,甲状旁腺功能低下5例,经保守治疗后恢复正常。结论：术前颈部彩超检查应为常规检查,对肿瘤较大或有吞咽、呼吸困难者应常规行CT检查;手术方式建议选择近全或次全切除术,尽可能保留正常甲状腺组织,同时保护好喉返神经和甲状旁腺。Objective：To explore the diagnosis and treatment of nodular goiter.Methods：Seventy-three patients with nodular goiter were received B ultrasonic examination,pathological test and surgical treatment.Results：Eleven patients recurred,7 received the second operation,4 presented dysphagia and 5 developed hypoparathyroidism which was restored to normal by conservative therapy.Conclusions：Ultrasonograph should be routinely performed before operation,and CT is required for patients with large tumors,dysphagia or dyspnea.Subtotal thyroidectomy is suggested;the normal thyroid tissue should be reserved as much as possible,and the recurrent laryngeal nerve and parathyroid should be prevented from injury.

关 键 词：甲状腺肿 结节性 手术治疗 复发 

分 类 号：R581.33[医药卫生—内分泌]