中国实用外科杂志

中国实用外科杂志 ›› 2006, Vol. 26 ›› Issue (07): 1-505.

• 论著 •    

毒性结节性甲状腺肿的外科治疗(附33例报告)

刘晓安，王水，王凤良，陆辉   

  1. 南京医科大学附属第一医院普外科，江苏南京210029
  • 收稿日期:2006-04-04 修回日期:2006-04-10 出版日期:2006-07-04 发布日期:2006-07-04

Surgical treatment of toxic multinodular goiter:a report of 33 cases.

Liu Xiao’an,Wang Shui,Wang Fengliang,et al.   

  1. Department of General Surgery,First Affiliated Hospital of Nanjing Medical University,Nanjing 210029，China
  • Received:2006-04-04 Revised:2006-04-10 Online:2006-07-04 Published:2006-07-04

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摘要：

目的:总结毒性结节性甲状腺肿的治疗体会。方法:对1999-2005年收治的33例毒性结节性甲状腺肿行手术治疗的病人的临床资料进行回顾性分析。结果:33例中21例采用硫脲类药物加碘剂进行术前准备，5例采用心得安加碘剂准备，7例单用碘剂准备。除1例病人因甲状腺癌外都采用甲状腺次全切除术，术后无甲状腺危象、永久性喉返神经损伤及甲状旁腺功能减低等并发症。结论:手术治疗毒性甲状腺肿是安全有效的，须行合理的术前准备及选择适当的手术方式。

关键词: 毒性结节性甲状腺肿 , 甲状腺功能亢进

Abstract:

Objective:To summarize the experience of the surgical treatment of toxic multinodular goiter(TMNG). Methods:Clinical data of 33 patients hospitalized with TMNG from 1999 to 2005 were reviewed. Results:All patients were given with preoperative medical management,21 cases with antithyroidal drugs and iodide solution,5 cases with betablockers and iodide solution,7 cases with iodide solution only.All patients were treated surgically with subtotal thyroidectomy except one case for coexistent thyroid cancer.No patients developed thyroid crisis,permanent recurrent laryngeal nerve palsy and hypoparathyroidism postoperatively. Conclusion:Surgical treatment is safe and effective for TMNG,and preoperative medical treatment and appropriate option of surgical procedure were required.

Key words: Toxic multinodular goiter, Hyperthyroidism