摘要
目的:探讨结节性甲状腺肿(NG)的外科手术治疗疗效及其复发的防治。方法:NG患者56例,均采用手术配合口服左甲状腺素治疗,随访2年。结果:56例手术均顺利完成,出现并发症3例,喉返神经损伤1例,甲状旁腺损伤1例,永久性甲状腺功能减退1例,并发症发生率为5.36%;随访时间2年,有2例出现结节复发,复发率为3.57%。结论:结节性甲状腺肿患者根据其病灶位置、大小、数目具体情况采用不同的手术切除方式治疗,术后服用左甲状腺素能明显降低复发率,减少并发症发生率。
Objective： To explore nodular goiter （NG） surgical therapy and relapse prevention. Methods： January 2006 - March 2009 on the NG patients admitted to our hospital 56 cases, all with surgery of oral levothyroxine treatment, followup of 2 year. Results：56 patients were operated successfully completed, 3 cases of complications, 2 cases recurrent laryngeal nerve injury, and 1 case permanent thyroid dysfunction, the complication rate was 5.36% ; in two - year followup period, 2 patients had nodules recurrence, the recurrence rate was 3.57%. Conclusion ：The patients with nodular goiter lesions according to their location, size, number of specific conditions of different methods of surgical resection therapy, then taking levothyroxine can significantly reduce the relapse rate, reduce the incidence of complications.
