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甲状腺功能亢进症手术治疗1954例分析
http://www.100md.com 《全科医学临床与教育》 2007年第1期
甲状腺功能亢进症,;甲状腺次全切除手术;并发症,1资料与方法,2结果,3讨论,参考文献
     【摘 要】 目的 总结甲状腺功能亢进手术治疗的经验。方法 回顾分析1954例因甲状腺功能亢进行甲状腺次全切除术的临床资料,探讨术后并发症的发生原因和预防措施。 结果 术后出现并发症47例,占2.41%,复发20例,占1.02%。结论 严格做好术前准备,术中操作轻柔,彻底止血,囊内结扎甲状腺上、下极血管,并根据中毒症状、病程长短、年龄、腺体的大小决定保留腺体数量,有助于进一步减少并发症,提高治愈率。

    【关健词】 甲状腺功能亢进症 ;甲状腺次全切除手术;并发症

    Surgical treatment of hyperthyroidism SHI Yu, WANG Weisong ,YAN Guangliang, et al. Department of General Surgery, Red-Cross Hospital of Zhuji, Zhuji 311800,China

    [Abstract] Objective To summarize the experience of surgical treatment of hyperthyroidism. Methods Clinical date and postoperative complication of the 1954 patients suffered from hyperthyroidism treated with subtotal thyroidectomy were analyzed retrospectively, the cause of postoperative complications and preventive measures were evaluated. Results 1890 cases were cured by operation, 20 cases (1.02%) recurred postoperatively, 47cases (2.41%) appeared with postoperative complications. Conclusions To do preoperative preparations carefully, to operate softly, ligate the bleeding vessels, and keep the proper remains of the thyroid gland according to its clinical characteristic will decrease the complication and improve the cure rate. ......

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