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岭南现代临床外科 ›› 2010, Vol. 10 ›› Issue (01): 22-23.

• 临床研究 • 上一篇    下一篇

结节性甲状腺肿术后复发原因分析及应对策略

钟文毅1,陈诗权2,吴演清2,郭国城2, 吴伟兴2   

  1. 1. 梅州大埔人民医院外2科
    2. 广东省大埔县人民医院
  • 通讯作者: 钟文毅

Analysis of the recurrent causes of nodular goiter after operation and management

  • Received:2010-01-13 Revised:2010-01-19 Online:2010-02-20 Published:2010-02-25

摘要: 摘要 目的: 探讨结节性甲状腺肿术后复发的相关因素和应对策略,降低结节性甲状腺肿再手术率。 方法: 回顾分析我院1998~2008年术后复发性结节性甲状腺肿45例的临床资料。 结果: 结节性甲状腺肿术后复发与病变类型、手术方式选择及术后无规律TSH抑制治疗等密切相关。45例患者给予再次手术加甲状腺激素治疗后无一例复发。 结论: 首次手术应重视术前检查和术中探查、正确选择手术方式及规范化术后辅助甲状腺激素替代治疗,可降低复发率。

关键词: 结节性甲状腺肿, 术后复发, 再手术, Nodular goiter, Recurrence, Reoperation

Abstract: 【Abstract】 Objective To analyzed the recurrent causes of nodular goiter after operation and management. Method The data of 45 patients who sufferred from recurrent nodular goiter after operation between 1998-2008 were reviewed. Results The recurrent nodular goiter was related to the type of disease, surgical procedure and irregular TSH inhibition after operation. There was no recurrent case when 45 patients underwent reoperation and were treated with thyroxin. Conclusion Full examination before operation and careful exploration during operation shoud be done in first resection. Suitable surgical procedure and treatment with thyroxin after operation can decrease the recurrent rate.