| 胡照洋,张自杰,李长键,李虹萱,邹小明.甲状腺再次手术治疗的临床分析[J].,2017,17(21):4086-4088 |
| 甲状腺再次手术治疗的临床分析 |
| Clinical Analysis of Thyroid Reoperation |
| 投稿时间：2016-12-06 修订日期：2016-12-29 |
| DOI：10.13241/j.cnki.pmb.2017.21.021 |
| 中文关键词: 甲状腺 再次手术 并发症 |
| 英文关键词: Thyroid Reoperation Complication |
| 基金项目:黑龙江省自然科学基金项目(H201407) |
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| 中文摘要: |
| 摘要 目的：探讨甲状腺再次手术的原因、手术方式的选择和手术效果以及患者的预后情况。方法：统计哈尔滨医科大学附属第二医院普外科2001年1月到2015年9月期间收治的1600例初次行甲状腺手术的患者，回顾分析其中175例再次行甲状腺手术患者的临床资料。结果：甲状腺再次手术采用双侧甲状腺次全切除术为92例，单侧甲状腺次全切除术为72例，甲状腺癌根治术为11例。甲状腺再次手术患者术后出现甲状腺功能减退、气管和喉返神经损伤、出血以及缺钙引起的手足抽搦等概率高，与首次手术比较差异有统计学意义（P<0.05）。术后1年内对再次手术的患者进行随访，其中复发12例（病理确诊为甲状腺癌3例，结节性甲状腺肿9例），其他类型甲状腺疾病无复发。结论：甲状腺再次手术较初次手术难度较大，术中及术后并发症较多， 再次手术应谨慎选择术式及术中精细操作。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the causes of thyroid reoperation, the choice of the ways of operation and operation effect and prognosis of patients. Methods: Statistics of the second affiliated hospital of Harbin medical university general surgery during Jan- uary 2001 to September 2001 treated 1600 cases of the first line of the patients with thyroid surgery, retrospective analysis of clinical data of 175 patients with thyroid reoperation. Results: Thyroid reoperation with bilateral subtotal thyroidectomy for 92 cases, unilateral subto- tal thyroidectomy of 72 cases, radical operation for thyroid cancer for 11 cases. Postoperatively in patients with thyroid reoperation hy- pothyroidism, trachea and laryngeal recurrent nerve injury, hemorrhage and calcium causes limbs twitch probability is high, compared with surgery for the first time difference was statistically significant (P<0.05). Of reoperation of patients within 1 year of postoperative follow-up, including 12 cases recurrence (pathological diagnosis of thyroid carcinoma 3 cases, 9 cases of nodular goiter), and other types of thyroid disease recurred. Conclusion: Thyroid reoperation is complication more than difficult to postoperative, reoperation should be careful to choose operation and intraoperative fine operation. |
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