Abstract: 【Abstract】〓Objective〓To review the experience of perioperative management for large goiter disease. Methods〓Sixty-seven cases with large goiter from January 2011 to 2014 June were analyzed retrospectively. All patients were performed surgical treatment under general anesthesia. Results〓All operation were completed smoothly and the patients got recovery..Temporary functional disorder of nervus laryngeus superior appeared in 3 cases,and hypocalcemia appeared in 5 cases..The complications were getting good in 3 months after operation..The pathological results of 34 cases showed Graves' disease, 23 cases nodular goiter with fibrosis and calcification, 3 cases toxic nodular goiter; 3 cases nodular goiter with chronic thyroiditis, 2 sases thyroid follicular carcinoma, 2 cases thyroid adenoma..Conclusion〓The key factors for the operation are associated with sufficient preoperative preparation, good surgical exposure and fine operation.

Key words: Large Goiter, Thyroidectomy, Perioperation period

摘要： 【摘要】〓目的〓总结巨大甲状腺肿围手术期处理的经验。方法〓回顾性分析总结我院甲状腺专业组2011年1月~2014年6月收治的67例巨大甲状腺肿患者的临床资料,所有患者均采用手术治疗,分析和总结临床疗效、手术治疗相关要素和手术要点。结果〓67例均顺利行手术治疗并康复出院,3例出现暂时性喉上神经麻痹,5例出现低钙血症,随访3个月均恢复正常。术后病理报告显示:34例为毒性弥漫性甲状腺肿,23例为结节性甲状腺伴纤维化、钙化,3例为毒性结节性甲状腺肿,3例为结节性甲状腺肿并慢性甲状腺炎,2例为甲状腺滤泡性腺癌,2例为甲状腺高功能腺瘤。结论〓个体化的术前准备、轻柔精细的解剖操作,是手术成功的重要因素。

关键词: 巨大甲状腺肿, 围手术期 , 手术方式