结节性甲状腺肿术后复发的临床分析  

Nodular goiter recurrence of clinical analysis

作　　者：徐勇[1] 魏祥[1] 陈勇[1] 马红付[1] 

机构地区：[1]江苏省兴化市中医院外科,江苏兴化225700

出　　处：《中国当代医药》2010年第26期24-25,共2页China Modern Medicine

摘　　要：目的:分析结节性甲状腺肿术后复发的原因。方法:对84例结节性甲状腺肿术后患者进行2～10年的随访,使用B超、CT等检查手段,回顾性分析、研究相关病历资料。结果:84例结节性甲状腺肿患者术后1～10年中,共有26例复发,复发率为30.95%,复发患者经再次手术及辅助治疗后,除2例因局部癌变,最终死亡外,其余患者甲状腺功能均恢复正常,未出现结节性甲状腺肿的复发病例。结论:结节性甲状腺肿术后复发一直是临床中普遍存在的问题,预防结节性甲状腺肿术后复发只有严格把关治疗的各个环节,术前仔细定位,控制手术指征,术中操作力争做到精细,才能有效地杜绝结节性甲状腺肿术后复发。Objective：To analyze the recurrence of nodular goiter causes. Methods：84 patients with nodular goiter pa-tients after 2 to 10 years of follow-up,using B ultrasoud,CT and other inspection methods,retrospective analysis of relevant medical records. Results：84 patients with nodular goiter patients 1 to 10 years,a total of 26 cases of recurrence,the recurrence rate was 30.95%,relapse in patients with adjuvant therapy after surgery and again after 2 cases because of local cancer and ultimately died,The remaining patients recovered normal thyroid function,did not appear nodular goiter recurrence. Conclusion：The recurrence of nodular goiter has been a common clinical problem,prevent recurrence of nodular goiter only strict control all aspects of treatment,preoperative carefully positioning control operation indication,operation and strive to operate be refined in order to effectively prevent goiter recurrence.

关 键 词：结节性甲状腺肿 术后复发 临床分析 

分 类 号：R581[医药卫生—内分泌]