Clinical analysis of reoperation for patients suffering from rucurrent nodular goiter
10.3760/cma.j.issn.1000-4955.2010.01.013
- VernacularTitle:结节性甲状腺肿术后复发再手术临床分析
- Author:
Hao, JIANG
;
Lian-xin, LIU
;
Xiao-long, ZOU
;
Xian, JIANG
;
Bao-guo, ZHOU
- Publication Type:Journal Article
- Keywords:
Goiter,nodular;
Recurrence;
Reoperation
- From:Chinese Journal of Endemiology
2010;29(1):54-55
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the causes of postoperative recurrence in patients of nodular goiter,the selection of method for reoperation and the postoperative complications. Methods The clinical data of 278 nodular goiter patients admitted in the first affiliated hospital of Harbin Medical University between 2001 and 2008 were analyzed retrospectively,including the methods and complications for first operation and reoperation. Results In the first operation,79 eases received simple eminectomy and 167 cases received partial lobectomy,accounted for 28.4% and 60.1%,respectively. Unilateral subtotal lobectomy plus contralateral eminectomy was performed in 23 cases and subtotal thyroideetomy was conducted in 9 cases,accounted for 8.3% and 3.2%,respectively. Postoperative complications occurred in one hundred and twenty-three cases,the incidence being 8.2% (23/278). Unilateral subtotal Iobectomy plus contralateral partial iobectomy was reperformed in 37 cases and bilateral subtotal thyroidectomy in 241 cases. Postoperative complications occurred in 12 cases,the incidence being 4.2%(12/278). No postoperative recurrence of nodular goiter was found. Conclusions Recurrence of nodular goiter is closely associated with the scope of previous surgical treatment,and correct operative manipulation may reduce the recurrent rate.
