Analysis of surgical treatment in 426 patients with thyroid diseases / 中国基层医药

ABSTRACT

Objective To study the constitutes of thyroid diseases suffered surgical treatment,and sumup the therapeutic effect.Methods The clinical data of 426 patients with thyroid diseases who suffered surgical treatment.Results Thyroid diseases suffered surgical treatment increased significantly.Most diseases of this group were nodu largoiter(59.9%)and thyroid carcinoma(16.6%).Hyperthyroidism treated by operation was decreasing(P＜0.01),but hashimotos thyroiditis was increasing(P＜0.05).The primary operative modes were total thyroid lobectomy(21.3%)if thyroid benign diseases were localized in one lobe of thyroid.The most operative program of thyroid carcinoma was total affected lobectomy plus is thmus and oppositesub total lobectomy.The prophylactic neck dissection was not suggested.The leading an esthetic modes were general anesthesia.The incidence of operative complications was 4.0%,including postoperative hemorrhage 0.5%,injury of recurrent laryngeal nerve 0.7%,injury of superior laryngeal nerve 0.9%,permanent injury of para-thyroid 0.2%,hypothyroidism 0.9%,hyperthyroidism crisis 0.2%and operative mortality 0.2%.The rate of post operative recurrence was 2.2%,which had decreased several years late(P＜0.05).Conclusions The operation modes should be individualized in light of the lesion pathology,location,size and the situation of lymph metastasis.The measures for reducing the incidence of operative complications are effect.