摘要
目的：探讨甲状腺癌再手术的原因、手术方式和并发症发生情况及对策。方法回顾分析唐都医院普通外科2007年1月至2012年4月甲状腺癌再手术临床资料，研究发生原因、并发症。结果术后并发症5例（13．51％）。其中并发暂时性喉返神经麻痹2例，经治疗3～6个月发音恢复正常；暂时性低钙抽搐2例，经静脉补充葡萄糖酸钙后，1周内症状消失；呛咳1例，经治疗于术后1周恢复。结论甲状腺疾病患者首次手术时详细的术前检查、术中冰冻病理检查、术中探查和恰当的手术方式是预防甲状腺癌再手术的关键因素；细致的操作和精细解剖、上极梯次解离等操作技术是预防甲状腺癌再手术并发症的重要保障。
Objective To investigate the causes , surgical methods and complications of reoperation of thyroid carcinoma and management .Methods Clinical data of patients with thyroid carcinoma in Department of General Surgery of Tang Du Hospital during Jan .2007 to Apr.2012 were retrospectively analyzed .The causes and complications were studied.Results Postoperative complications happened to 5 cases（13.51%）, among whom 2 cases had temporary recurrent laryngeal nerve palsy and they recovered after 2 to 6 months , 2 cases had temporary hypocalcemic convulsions and the symptom resolved after one-week treatment with intravenous calcium gluconate , and 1 case had bucking and recovered after one week of treatment .Conclusion For patients with thy-roid disease,detailed preoperative examination , intraoperative frozen pathological examination , intraoperative explo-ration and the right operation method are the key factors to prevent thyroid carcinoma reoperation .Careful dissection and gradually sever of upper pole of thyroid lobe reduce complications of thyroid carcinoma reoperation .
出处
《中华内分泌外科杂志》
CAS
2014年第4期272-274,共3页
Chinese Journal of Endocrine Surgery
基金
陕西省社发攻关基金（2009K12-01）
关键词
甲状腺癌
再手术
并发症
Thyroid carcinoma
Reoperation
Complication
