Costanzo M, Caruso L A M, Messina D C, Cavallaro A, Palumbo A, Cannizzaro M A
Università degli Studi di Catania, P.O.U.S. Luigi e S. Currò - Catania, Cattedra e Servizio Clinicizzato di Endocrinochirurgia.
Ann Ital Chir. 2005 Jan-Feb;76(1):9-12; discussion 12.
Solitary thyroid nodule is an important pathology with an incidence of 2-5% in the Italian population. The diagnosis was based on clinical exam, laboratory tests and ultrasonographic evaluation.
The study undertook has the purpose to assess the usefulness between lobe-isthmusectomy (with corresponding risk of possible relapse and complications for reintervention) and total thyroidectomy (with corresponding post-surgical treatment complications), for benign thyroid disease with solitary nodule, on selected cases for disease and corresponding risk factors, in the retrospective clinical study, using laboratory tests and ultrasonographic evaluation. The study was conducted on 80 patients admitted from 1994 to 2000 with diagnosis of benign thyroid nodule and operated with lobe-isthmusectomy. In seven patients the operation had to be converted in total thyroidectomy.
Operative mortality was nil and long-term results at a mean follow-up of three years are encouraging.
The main advantages of lobe-isthmusectomy for benign solitary thyroid nodule consist in less postoperative complications and less hospital stay.
Therefore our experience has carried us to consider the lobectomy which treatment of choice for all those benign thyroid diseases with solitary nodule.
孤立性甲状腺结节是一种重要的病症，在意大利人群中的发病率为2%至5%。诊断基于临床检查、实验室检查和超声评估。
本研究旨在通过实验室检查和超声评估，对选定的患有孤立性结节的良性甲状腺疾病病例及其相应风险因素，评估叶-峡部切除术（存在再次干预时可能复发和出现并发症的相应风险）和全甲状腺切除术（存在术后治疗并发症）之间的有效性，该研究为回顾性临床研究。研究对象为1994年至2000年收治的80例诊断为良性甲状腺结节并接受叶-峡部切除术的患者。其中7例患者的手术不得不转为全甲状腺切除术。
手术死亡率为零，平均三年随访的长期结果令人鼓舞。
叶-峡部切除术治疗良性孤立性甲状腺结节的主要优点在于术后并发症较少且住院时间较短。
因此，我们的经验使我们认为，对于所有患有孤立性结节的良性甲状腺疾病，叶切除术是首选治疗方法。
