继发性甲亢22例手术治疗分析

目的探讨22例继发性甲亢围手术期处理及手术要点,以提高治疗水平。方法 22例继发性甲亢随机分2组:改良服碘组及常规服碘组。作好相应术前准备后施行手术治疗,观察相关临床指标。结果全组22例,17例行甲状腺次全切除术,5例行真包膜内甲状腺结节摘除。术后出现轻度声嘶1例,无死亡病例。2组平均手术时间,平均术中出血量,术前T3、T4,术后24hT3、T4比较及各组术前与术后24hT3、T4比较差异无统计学意义(P>0.05)。服碘时间改良组比常规组平均缩短16.1d。结论手术是治疗继发性甲亢的主要方法,安全有效。术中要根据具体情况选择相应术式。术前碘准备以改良服碘法为佳。

Surgical Treatment of Secondary Hyperthyroidism Analysis of 22 Cases

Objective To explore the perioperative treatment and operation points of 22 cases of secondary hyperthyroidism,to improve the therapeutic level.Methods 22 cases of secondary hyperthyroidism was segmented into to two groups:the improvement group and conventional group.Make surgery treatment after corresponding preoperative preparation,observing relevant clinical index.Results There were 22 patients in all this groups,17 patients for subtotal thyroidectomy,surgery of five patients were for thyroid nodule exci...