Benzarti S, Miled I, Bassoumi T, Ben Mrad B, Akkari K, Bacha O, Chebbi M K
Service ORL et CCF, Hôpital Militaire de Tunis, 1008, Montfleury, Tunis, Tunisie.
Rev Laryngol Otol Rhinol (Bord). 2002;123(1):33-7.
The purpose of this study was to evaluate the risks and complication rate of thyroid surgery. The authors present a retrospective study of 356 patients surgically treated for thyroid nodules, between 1987 and 1998, at the military hospital of Tunis. The patients were categorised into 3 groups: group I: 238 solitary thyroid nodules (66.8%); group II: 92 multinodular goitres (25.8%) included 12 retrosternal goitres (3.37%) and group III: 26 cases of Basedow's disease (7.4%). Patients benefitted from unilateral surgery in 72% of cases and from bilateral surgery (total or subtotal thyroidectomy) in the remaining 28% of cases. Malignancy was found in 34 cases (9.5%). The complications observed were haemorrhage (0.56% of cases), unilateral post operative recurrent laryngeal palsy (1.12% of cases), and permanent hypoparathyroidism in 0.81% of cases. Experienced surgeons and the use of a meticulous surgical technique can reduce the incidence of post operative complications in thyroid surgery.
本研究的目的是评估甲状腺手术的风险和并发症发生率。作者对1987年至1998年期间在突尼斯军事医院接受手术治疗的356例甲状腺结节患者进行了回顾性研究。患者被分为3组：第一组：238例孤立性甲状腺结节（66.8%）；第二组：92例多结节性甲状腺肿（25.8%），其中包括12例胸骨后甲状腺肿（3.37%）；第三组：26例格雷夫斯病（7.4%）。72%的患者接受了单侧手术，其余28%的患者接受了双侧手术（全甲状腺切除术或次全甲状腺切除术）。发现34例（9.5%）为恶性。观察到的并发症包括出血（0.56%的病例）、单侧术后喉返神经麻痹（1.12%的病例）以及0.81%的病例出现永久性甲状旁腺功能减退。经验丰富的外科医生和采用细致的手术技术可降低甲状腺手术术后并发症的发生率。
