甲状腺良性占位病变术后并发症风险的比较  

Comparison of risks for postoperative complications in the treatment of benign thyroid space-occu-pying lesions

作　　者：司丕蕾[1] 涂毅[1] 孙圣荣[1] 

机构地区：[1]武汉大学人民医院乳腺甲状腺外科,430060

出　　处：《临床外科杂志》2012年第12期851-852,共2页Journal of Clinical Surgery

摘　　要：目的比较甲状腺全切术（TT）和次全切除术（STT）治疗甲状腺良性占位病变的术后并发症风险。方法回顾分析213例甲状腺占位病变行TT或STT病例，其中TT组56例，STT组157例。比较两组术后暂时性喉返神经损伤（RLNI）、低钙血症的发生风险。结果 TT组术后暂时性RLNI共8例（14．29％），低钙血症18例（32．14％）；STT组术后暂时性RLNI7例（4．46％），低钙血症17例（10．83％）。TT组术后发生暂时性RLNI和低钙血症的风险大于STT组（X^2=6．089，P〈0．05；X^2=13．657，P〈0．05）。结论在治疗甲状腺良性占位病变时，TT术后发生暂时性并发症的风险大于STT。Objective To compare the risks for postoperative complications after total thyroidec- tomy（TT） or subtotal thyroidectomy（ST） in the treatment of benign thyroid space-occupying lesions. Meth- ods The clinical data of 213 patients who underwent thyroid surgery for thyroid space-occupying lesions were retrospectively reviewed, including 56 cases of TT and 157 cases of STT. The risks of transient recur- rent laryngeal nerve injuries （RLNI） and hypocalcemia were assessed and compared. Results In the TT group, transient RLNI occurred in 8 cases （ 14.29% ） and hypocalcemia occurred in 18 cases （32.14%） ; In the STY group, transient RLNI occurred in 7 cases （4.46%） and hypocalcemia occurred in 17 cases （ 10.83% ）. The incidence of transient postoperative complications of the TT group was statistically higher than that of the STT group（X^2 =6.089,P〈0.05; X^2 = 13.657,P〈0.05）. Conclusion In the surgical treatment of benign thyroid space-occupying lesions, TT is more risky than STY in transient postoperative complications.

关 键 词：甲状腺 喉返神经损伤 低钙血症 

分 类 号：R653[医药卫生—外科学]