Okamoto T, Iihara M, Obara T
Department of Endocrine Surgery, School of Medicine, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 168-8666, Japan.
World J Surg. 2000 Aug;24(8):957-61. doi: 10.1007/s002680010167.
Endocrine surgeons have had an important role in the management of hyperthyroidism due to either Graves' disease or toxic nodule(s). Since alternative treatments such as antithyroid drugs or radioiodine are also available, the decision-making for management should be based on clear assessment of advantages and limitations of each of the treatment options. Surgery provides rapid resolution of these conditions, and cure rates are high, although it may be associated with perioperative complications and postoperative thyroid dysfunction. The authors' experience in the surgical treatment of hyperthyroidism and a review of the recent literature are outlined in this report.
内分泌外科医生在因格雷夫斯病或毒性结节导致的甲状腺功能亢进症的管理中发挥着重要作用。由于也有抗甲状腺药物或放射性碘等替代治疗方法，管理决策应基于对每种治疗方案的优缺点进行清晰评估。手术能迅速解决这些病症，治愈率高，尽管可能伴有围手术期并发症和术后甲状腺功能障碍。本报告概述了作者在甲状腺功能亢进症手术治疗方面的经验以及对近期文献的综述。
