中国医学装备2017，Vol.14Issue(2)：53-55,56,4.DOI:10.3969/J.ISSN.1672-8270.2017.02.016
单侧甲状腺腺叶切除+对侧肿物切除或大部切除术与双侧甲状腺大部切除术治疗双侧结节性甲状腺肿的对比研究
Comparative study of the treatment of bilateral multinodular goiter between hemithyroidectomy combined with contralateral nodule resection or subtotal resection and bilateral subtotal resection
摘要
Abstract
Objective:To discuss the appropriate thyroid operation for the treatment of bilateral multinodular goiter.Methods: 328 bilateral multinodular goiter patients undergoing surgery in the department of general surgery of Capital Medical University Beijing Tongren Hospital from June 2012 to June 2016. were retrospectively analyzed. Of these patients, 85 underwent hemithyroidectomy combined with contralateral nodule resection or subtotal resection and 243 underwent bilateral subtotal thyroidectomy. The rate of postoperative complications and recurrence between hemithyroidectomy combined with contralateral nodule resection or subtotal resection and bilateral subtotal thyroidectomy were compared.Results: The follow-up time was 1 month to 48 months after operations. In hemithyroidectomy combined with contralateral nodule resection or subtotal resection group 1 patient developed recurrent laryngeal nerve palsy, 2 patients had transient hypoparathyroidism and 1 patient had hematoma in the operative cavity. In bilateral subtotal thyroidectomy group, 2 patients developed recurrent laryngeal nerve palsy and 2 patients had subcutaneous hematoma. The rate of recurrent disease was 2.35%(2 patients) in hemithyroidectomy combined with contralateral nodule resection or subtotal resection group and 7%(17 patients) in bilateral subtotal thyroidectomy group. There was no patient in both groups needed reoperation.Conclusions:Hemithyroidectomy combined with contralateral nodule resection or subtotal resection had similar complication rate compared with bilateral subtotal thyroidectomy, but it had a significantly lower risk of recurrence than bilateral subtotal thyroidectomy, Furthermore, the rest one lobe could be resected for many times which would not cause severe complications. Hemithyroidectomy combined with contralateral nodule resection or subtotal resection is worthed to be recommended.关键词
结节性甲状腺肿/甲状腺腺叶切除/甲状腺大部切除/复发Key words
Multinodular goitergoiter/Subtotal thyroidectomy/Hemithyroidectomy/Recurrence分类
医药卫生引用本文复制引用
陈笑,肖晖,郁正亚..单侧甲状腺腺叶切除+对侧肿物切除或大部切除术与双侧甲状腺大部切除术治疗双侧结节性甲状腺肿的对比研究[J].中国医学装备,2017,14(2):53-55,56,4.基金项目
First-author’s address] Department of General Surgery, Capital Medical University Beijing Tongren Hospital, Beijing 100730, China （）
