摘要
目的探讨巨大甲状腺肿的外科治疗效果。方法回顾性分析我院163例巨大甲状腺肿患者的临床资料。结果全部病例均予手术治疗,其中138例行双叶甲状腺大部分切除术,22例行患叶甲状腺加峡部全切除术,3例行一侧甲状腺加峡部全切、对侧次全切除联合患侧颈淋巴结清扫术。患者术后有4例喉返神经损伤,6例甲状旁腺损伤,11例发生甲状腺功能低下需长期服用左甲状腺片治疗。无发生手术死亡病例。结论外科手术是治疗巨大甲状腺肿的有效手段,适当的术式选择可减少并发症、提高疗效。
Objective To explore the effect of surgical treatment of large goiter.Methods The clinical data of 163 cases of large goiter patients were analyzed retrospectively.Results All the patients had surgical treatment,of whom 138 patients underwent most resection of Futaba thyroid,22 patients underwent complete resection of suffered thyroid lobe plus isthmus,3 patients underwent total resection of one side thyroid lobe plus isthmus,contralateral subtotal resection combined with ipsilateral cervical lymph node dissection.After surgery,4 patients had recurrent laryngeal nerve injury,6 patients had parathyroid injury,11 patients had hypothyroidism who needed to be treated long-term with left thyroid tablets.No operative deaths occurred.Conclusions As surgery is an effective means of treatment of large goiter,appropriate surgical options can reduce complications and improve efficacy.
出处
《临床医学工程》
2011年第8期1232-1233,共2页
Clinical Medicine & Engineering
关键词
巨大甲状腺肿
外科
治疗体会
Large goiter
Surgery
Experience of treatment
