摘要
目的 研究接受外科治疗的甲状腺疾病的构成,总结治疗效果。方法 回顾性分析 10 年间收治的 1350 例甲状腺手术病人的临床资料。结果 外科治疗以结节性甲状腺肿(59.95%)、甲状腺腺瘤(16.59%)为主,甲亢手术减少(P<0.01) ,桥本病有所增加(P<0.05);局限于一侧的良性疾病近来以单侧腺叶切除术(21.32 %) 为主,甲状腺癌主要行患侧腺叶、峡部联合对侧次全切除术;麻醉方式以全身麻醉为主;总体手术并发症发生率3.95% ,重视术后规范、系统的替代治疗;总体术后复发率 2.01% 。结论 手术方式应根据病变性质、部位、大小及淋巴结转移情况而采取个体化方案;专业化培训、细致操作以及全身麻醉等措施可有效减少并发症的发生,降低术后复发率。
Objective To study the constituent of th yroid diseases which applied surgical treatment , and analyze the therapeutic effect .Methods The clinical data of 1350 patients with thyroid diseases that who applied surgical treatment during 1992 and 2003 were analyzed retrospectively. Results In this group the main thyroid diseases were nodular goiter (59.95%) and thyroid adenoma (16.59%) .Cases with hyperthyroidism treated by operation were decreasing ( P<0.01) , but Hashimoto’s thyroiditis were increasing (P<0.05) . The recent operation modes were total thyroid lobectomy (21.32%) if the thyroid benign diseases were localized in one lobe of thyroid. To thyroid carcinoma, total affected lobectomy plus isthmus and opposite subtotal lobectomy was taken. The leading anesthetic modes were general anesthesia. The incidence of operational complications were 3.95 % , including postoperation hemorrhage (0.39 %) . Standard and systemic postoperation thyroxine replacement therapy was emphasized. The rate of postoperation recurrence was only 2.01 % . Conclusion The main thyroid diseases in this group were nodular goiter and thyroid carcinoma. The operation modes should be individualized in light of the lesion pathology , location , size and the situation of lymph metastasis. The measures for reducing the incidence of operational complications were specialized training , meticulous operating ,adopting general anesthesia and so on. Standard and systemic postoperation thyroxine replacement therapy can decrease the postoperation recurrence rate.
出处
《右江医学》
2005年第1期9-11,共3页
Chinese Youjiang Medical Journal
关键词
疾病构成
手术方式
甲状腺疾病
治疗
Thyroid diseases
Disease-constitute
Surgical treatment
