Explortation of the clinical application of total thyroidectomy
- VernacularTitle:甲状腺全切除术76例临床应用
- Author:
Chunlan HE
;
Ping CHEN
;
Jianguo ZHAO
- Publication Type:Journal Article
- Keywords:
Total thyroidectomy?Meticulous capsule dissection technique?Thyroid
- From:
Chinese Journal of Current Advances in General Surgery
2009;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the method of surgery treatment for nodular goiter,Graves disease,Hashimoto thyroiditis and differentiated thyroid carcinoma. Methods:A retrospective analysis of the clinical records of 76 patients undergoing total thyroidectomy was analyzed for the method of surgery treatment for thyroid diseases from resection extent,operative techniques,intraoperative and postoperative complications. Results:Five patients(78.4%)of all the patients accepted total thyroidectomy in first operation had transient or short-term completely recovered hypocalcemia postoperatively,and there were no cases with injury of recurrent laryngeal nerve. 4 patients(33.3%) had one-sided recurrent laryngeal nerve injury and temporary hypoparathyroidism in recurrent patient,and one of the cases had permanent hypoparathyroidism. Conclusion:Total thyroidectomy could be served as the routine operative method for multinodular goiter,Graves disease,Hashimoto thyroiditis and differentiated thyroid carcinoma.
