甲状腺全切术的安全性分析  

Study in safety of total thyroidectomy

作　　者：张少强[1] 姚小宝[1] 白艳霞[1] 闫利英[1] 李随勤[1] 

机构地区：[1]西安交通大学医学院第一附属医院耳鼻咽喉头颈外科,西安710061

出　　处：《临床耳鼻咽喉头颈外科杂志》2011年第18期817-818,822,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨甲状腺全切术的安全性,使其成为治疗某些甲状腺良性或恶性病变的主要方法。方法:回顾性分析了我科近5年来施行的351例甲状腺全切术,手术前后均行电子喉镜检查判断喉返神经的功能。术前及术后当日、3d和1周分别化验血清钙,并记录患者的症状。结果:术后1周内无症状低血钙发生率为47.01%,症状轻微者为21.37%,症状较重者为15.67%,永久性甲状旁腺机能减退且需长期补钙治疗者为0.85%;无双侧喉返神经损伤,术后暂时性喉返神经麻痹发生率为1.42%,永久性声带麻痹者为0.56%。结论:甲状腺全切术是安全可行的。术中暴露喉返神经、保护甲状旁腺及其血供,是防止术后并发症的关键。Objective： To study the complications in total thyroidectomies and the safety of total thyroidectomy. Method： Retrospective analyses 351 cases underwent total thyroidectomy in our department.Preoperative and postoperative electronic laryngoscopy were used to assess the vocal cord function.All patients have serum calcium analysis on the operative day and 3rd and 7th day after operation. Result： Temporary hypocalcaemia occurred in 47.01% after total thyroidectomy,but only 15.67% with severe synmptom temporarily,and 21.37% with temporary mild numbness.Permanent hypoparathyroidism occurred in 0.85% patients.None with bilateral recurrent laryngeal nerve palsy,and temporary unilateral vocal cord palsy occurred in 1.42% patients and permanent unilateral recurrent laryngeal nerve palsy occurred in 0.56% patients. Conclusion： Total thyroidectomy is safe with low complications.

关 键 词：甲状腺全切 甲状旁腺 喉返神经 

分 类 号：R736.1[医药卫生—肿瘤]