甲状腺良恶性病变均选择甲状腺全切除术作为手术方式的初步探讨.docVIP

精品论文 参考文献 甲状腺良恶性病变均选择甲状腺全切除术作为手术方式的初步探讨 张有缘（成都川办医院普外科 611430） 【摘要】目的 探讨甲状腺良恶性病变均选择甲状腺全切除术作为手术方式的临床价值和安全性。方法 回顾性分析139例接受甲状腺全切除术患者的病历资料，根据甲状腺病变性质不同分为两组：良性组(n=58)和恶性组(n=81)。观察并比较两组患者术后永久性和暂时性低钙血症、甲状旁腺功能减退症和喉返神经损伤的发生率，以及再次手术率。结果 良性组、恶性组术后暂时性低钙血症发生率分别为3.45%(2/58)、6.17%(5/81)，暂时性甲状旁腺功能减退症发生率分别为5.17%(3/58)、8.64%(7/81)，暂时性喉返神经损伤发生率分别为1.72%(1/58)、3.70%(3/81)，差异均无统计学意义(pgt;0.05)。两组患者甲状腺全切除术后均未发生永久性低钙血症、甲状旁腺功能减退症和喉返神经损伤，且无因出血等并发症而再次手术。结论 甲状腺良恶性病变均选择甲状腺全切除术术后并发症发生率无统计学差异。对于有经验的甲状腺外科大夫，可以考虑将甲状腺全切除术作为恶性甲状腺疾病和需要手术治疗的良性甲状腺疾病的手术方式。 【关键词】甲状腺全切除术 良性 恶性 【中图分类号】R61 【文献标识码】A 【文章编号】2095-1752（2013）28-0172-02 Clinical complications of total thyroidectomy as the single surgical option for benign and malignant thyroid disease 【Abstract】 Objective To explore clinical complications of total thyroidectomy as the single surgical option for benign and malignant thyroid disease. Methods A retrospective medical files review of 139 patients with benign and malignant thyroid disease who underwent total thyroidectomy between March 2011 and January 2013. All patients are divided into two groups: benign group(n=58) and malignant group(n=81). Transient and permanent hypocalcemia, hypoparathyroidism and laryngeal nerve palsy, as well as incidence of postoperative reoperation were compared between the two groups. Results Temporary hypocalcemia occurred in 3.45%(2/58) and 6.17%(5/81) of patients with benign and malignant disease respectively. 5.17%(3/58) of patients with benign and 8.64%(7/81) of patients with malignant thyroid disease suffered temporary hypoparathyroidism. Temporary laryngeal nerve palsy occurred in 1.72%(1/58) and 3.70%(3/81) of patients with benign and malignant disease respectively. There were no significant differences in incidence of transient hypocalcemia and hypoparathyroidism between the two groups(pgt;0.05). For both benign and malignant disease, total thyroidectomy resulted in no permanent hypocalcemia, hypoparathyroidi