Thyroid function maintenance following thyroidectomy
10.3760/cma.j.issn.1673-4203.2014.02.014
- VernacularTitle:甲状腺术后的甲状腺功能维护
- Author:
Yanjun SU
;
Tingting YANG
;
Jianming ZHANG
;
Ruochuan CHENG
- Publication Type:Journal Article
- Keywords:
Thyroidectomy;
Hypothyroidism;
Hormone replacement therapy;
TSH-Suppressive therapy;
Postoperative complications
- From:
International Journal of Surgery
2014;41(2):114-119
- CountryChina
- Language:Chinese
-
Abstract:
Postoperative hypothyroidism is the most common complication following thyroidectomy,and thyroxine replacement is needed to maintain thyroid function.Levothyroxine (L-T4) is the preferred drug for the treatment of hypothyroidism.L-T4 therapy can be initiated immediately after thyroid operation,and the dosages are influenced by target serum TSH and several other factors.Special consideration should be taken for such patients,including patients with poor compliance,during pregnancy,and elderly patients.Thyroid function should be measured every 4 to 6 weeks,optimal dosages are adjusted according to target serum TSH individually,avoiding under-treatment or over-treatment.T3 in divided doses or L-T4/T3 combination therapy can be served as alternative for those failed to L-T4 therapy alone.
