Barraclough B H, Reeve T S
Aust N Z J Surg. 1975 Feb;45(1):21-9. doi: 10.1111/j.1445-2197.1975.tb05717.x.
A comparison is presented of the complications found in two series each consisting of 331 consecutive patients undergoing thyroidectomy in the same Unit ten years apart. The overall incidence of postoperative complications has been reduced, particularly in the group of patients having thyroidectomy for thyrotoxicosis following which it is now no greater than after thyroidectomy for benign non-toxic goitre. The techniques used to try to reduce the postoperative complication rate are discussed. The incidence of permenent recurrent laryngeal nerve palsy has been reduced to 0-3% and of permanent hypoparathyroidism to 1-2%. The overall incidence of complications causing permanent disability is now 3-9%.
本文对在同一科室分别于相隔十年的时间里连续进行甲状腺切除术的两组患者（每组331例）所出现的并发症进行了比较。术后并发症的总体发生率有所降低，尤其是在因甲状腺毒症接受甲状腺切除术的患者组中，目前该组并发症发生率已不高于因良性非毒性甲状腺肿接受甲状腺切除术的患者组。文中讨论了为降低术后并发症发生率所采用的技术。永久性喉返神经麻痹的发生率已降至0 - 3%，永久性甲状旁腺功能减退的发生率降至1 - 2%。导致永久性残疾的并发症总体发生率目前为3 - 9%。
