摘要
目的 探讨良性甲状腺疾病再手术的原因和预防措施。方法 回顾性分析 1988～2 0 0 2年我院收治的良性甲状腺疾病再手术 2 3例。结果 首次手术行甲状腺结节摘除术 12例 ,甲状腺一侧腺叶部分切除术 11例。术后病理报告结节性甲状腺肿 18例 ,甲状腺腺瘤 5例。再手术行甲状腺一侧腺叶及峡部切除术 4例 ,甲状腺次全切除术 19例。术后病理检查 :结节性甲状腺肿2 1例 ,桥本甲状腺炎 2例。术后无严重并发症。结论 结节性甲状腺肿复发是再手术的主要原因 ,选择合理的术式有助于减少再手术。
Objective To investigate the causes of reoperation on patients with benign thyroid disease and its prevention.Methods Twenty-three reoperative cases with benign thyroid disease from 1988 to 2002 were analyzed retrospectively.Results Twelve patients underwent enucleation and 11 had unilateral partial lobe resection in primary operation,in which the histological diagnoses were goiter(n=18)and adenoma(n=5).Nineteen patients had subtotal thyroidectomy and 4 underwent unilateral lobe resection including isthmus in secondary operation,in which the histological diagnoses of benign thyroid disease were goiter(n=21) and Hashimoto's thyrioditis(n=2),without serious postoperative complications.Conclusion The postoperative recurrence of nodular goiter is the main cause of reoperation.Selecting rational approach can help reduce reoperation for benign thyroid disease. [
出处
《临床外科杂志》
2004年第10期605-606,共2页
Journal of Clinical Surgery
