Tajtáková M, Trejbal D, Vajó J, Gonsorcíková V, Machánová Y
I. interná klinika FNsP, Kosice.
Vnitr Lek. 1992 May;38(5):473-8.
The authors examined 85 patients after a mean interval of 2.5 years following thyroidectomy. They focused attention on evaluation of the functional state using as criteria the TSH and TRH test. Simultaneously they examined by ultrasonography the volume of the remainder of the thyroid gland. In 8 patients operated on account of carcinoma the average volume of the thyroid gland was 1.3 ml. Five patients were hypothyroid despite permanent substitution. Of 77 patients operated on account of benign goitre evident hypothyroidism was found in 29 (37.7%) and latent hypothyroidism in 14 (18.2%). The volume of the remainder of the thyroid gland in these patients was on average smaller than 4 ml, while in patients who were euthyroid after thyroidectomy the mean volume of the remaining thyroid was more than 4.5 ml.
作者在甲状腺切除术后平均2.5年对85例患者进行了检查。他们将注意力集中在使用促甲状腺激素（TSH）和促甲状腺激素释放激素（TRH）试验作为标准来评估功能状态。同时，他们通过超声检查了甲状腺剩余部分的体积。8例因癌症接受手术的患者，甲状腺平均体积为1.3毫升。5例患者尽管进行了永久性替代治疗，但仍存在甲状腺功能减退。在77例因良性甲状腺肿接受手术的患者中，29例（37.7%）有明显甲状腺功能减退，14例（18.2%）有潜在甲状腺功能减退。这些患者甲状腺剩余部分的体积平均小于4毫升，而甲状腺切除术后甲状腺功能正常的患者，剩余甲状腺的平均体积超过4.5毫升。
