Surgical treatment of hyperthyroidism.
- Author:
Li-ying YAN
1
;
Sui-qin LI
;
Bing-yin SHI
;
Shao-qiang ZHANG
;
Yan-xia BAI
;
Fang QUAN
;
Lin-gu WANG
;
Wen-xuan HE
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Female; Follow-Up Studies; Humans; Hypoparathyroidism; surgery; Male; Middle Aged; Thyroidectomy; adverse effects; methods; Young Adult
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2006;41(8):595-598
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVEIn order to explore the management of peri-operation and the therapeutic effect in the surgical treatment of hyperthyroidism.
METHODSFifty five cases of hyperthyroidism were undergone near-total thyroidectomy, during the operation recurrent laryngeal nerve was exposed, and the parathyroid was found with microscope when necessary. The third rank of inferior thyroid arteries were ligated to guarantee the blood supply for parathyroid.
RESULTSAll cases underwent near-total thyroidectomy. There was no mortality, and no permanent recurrent laryngeal nerve palsy occurred, and no permanent hypoparathyroidism, and no recurrent hyperthyroidism. Follow-up was carried out 16 months to approximately 5 years after near-total thyroidectomy patients, Hypothyroidism occurred in 15 cases (57.7%), serum calcium levels were 2.15-2.45 mmol/L.
CONCLUSIONSSpecial attention should be given to the management of peri-operation, the above the method can prevent operative complication in the surgical treatment of hyperthyroidism, with excellent result.
