双侧结节性甲状腺肿手术方式的临床探讨  

Method of operational treatment for bilateral tuberous goiter

作　　者：施晨峰[1] 胡晓清[1] 张宪波[1] 

机构地区：[1]温州市第二人民医院肿瘤外科,浙江温州325000

出　　处：《中华肿瘤防治杂志》2011年第21期1720-1721,共2页Chinese Journal of Cancer Prevention and Treatment

摘　　要：为了探讨双侧结节性甲状腺肿的手术治疗方法,对57例双侧结节性甲状腺肿,术中使用血管夹阻断上下极动静脉,每15min恢复血供,行双侧甲状腺结节被膜内切除+峡部切除;术后去除血管夹,恢复甲状腺上下极血供。与同期使用传统手术方法治疗结节性甲状腺肿79例进行比较分析。57例手术均顺利完成,出现术后并发呛咳1例,喉返神经损伤0例,无并发手足麻木、抽搐,并发症发生率为1.75%,与传统手术方法比较,χ2=7.75,P<0.05。术中出血10～20mL,与传统手术方法比较明显减少。随访2年,3例出现结节复发,复发率为5.26%,与传统手术方法比较,χ2=4.699,P<0.05。初步研究结果提示,对于需行双侧手术治疗的结节性甲状腺肿,该术式具可行性,且与传统方法相比,术中出血少,并发症发生率低,术后结节复发少,值得推广。The objective of this study was to investigate the method of operational treatment for bilateral tuberous goiter. The 57 cases of bilateral tuberous goiter were compared with 79 cases of tuberous goiter treated by the traditional method. The results showed all the 57 cases were successful with one case of cough, without injury of recurrent laryngeal nerve, or anesthetic feeling or hyperspasmia. The occurrence rate of complication was 1.75%. Com- pared with the traditional operation method （χ2 = 7.75, P〈0.05）, the bleeding amount during operation about 10- 20 mL; In the followed up two years, there were 3 cases of nodules recurrence with the rate of 5.26%. Compared with the traditional operation method （χ2=4. 699, P〈0.05）. The results of primary researches have shown the operation method is feasible with little bleeding, low rate of complication and rare to nodule recurrence. So, it is worth publicizing.

关 键 词：甲状腺结节 复发 外科手术 

分 类 号：R653[医药卫生—外科学]