Wahl R A, Seel A W, Müller B, Vietmeier P
Chirurgische Klinik am Bürgerhospital Frankfurt/Main.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:941-6.
Remnants after "classic" Subtotal Thyroidectomy are of constant size in constant position. "Selective" thyroidectomy intends to remove all nodules, but to save normal tissue--irrespective of their localization. From July 1985 to Dec. 1989 in 48.5% of 1124 thyroid lobes sel. surgery was performed, in 27.8% subtotal, in 23.8% total lobectomy. Primary postop. recurrent lar. palsy occurred in 1.3% after sel., 1.0% after subt. and 2.7% after total lobectomy. 90% of primary r.l.n.p.'s were transient--after sel. lobectomy only one persistend (0.2%). Hypocalcemia: 0.7% after sel., 1.4% after subt. thyroidectomy. Besides better quality and quantity of remnants selective thyroidectomy is supported by low rate of complications.
“经典”甲状腺次全切除术后的残留组织大小恒定且位置固定。“选择性”甲状腺切除术旨在切除所有结节，但保留正常组织——无论其位置如何。1985年7月至1989年12月，在1124个甲状腺叶中，48.5%进行了选择性手术，27.8%进行了次全切除，23.8%进行了全叶切除术。术后原发性喉返神经麻痹发生率在选择性手术后为1.3%，次全切除术后为1.0%，全叶切除术后为2.7%。90%的原发性喉返神经麻痹为暂时性——选择性叶切除术后仅1例持续存在（0.2%）。低钙血症：选择性手术后为0.7%，甲状腺次全切除术后为1.4%。除了残留组织的质量和数量更好外，选择性甲状腺切除术还因并发症发生率低而得到支持。
