Wolf G, Langsteger W, Passath A
Department of Surgery, Karl-Franzens University Graz, Austria.
Acta Med Austriaca. 1990;17 Suppl 1:84-5.
The aim of the study was to evaluate the influence of the operative method (i.e. std. resection vs. enucleation) on postoperative function of the thyroid. Uni- or multifocal thyroid autonomy was resected (group I & III) or selectively enucleated (group II & IV). Postoperative function was determined after 6 and 12 months and again after 3-5 years. "Selective" treatment showed minor postoperative hypothyroidism, but goitrous, nodular or functional disorders are more often present compared to resection cases (4.4% vs 12%).
该研究的目的是评估手术方法（即标准切除术与摘除术）对甲状腺术后功能的影响。对单灶或多灶性甲状腺自主性病变进行切除（第一组和第三组）或选择性摘除（第二组和第四组）。在术后6个月和12个月时测定术后功能，3至5年后再次测定。“选择性”治疗术后甲状腺功能减退较轻，但与切除病例相比，甲状腺肿、结节或功能障碍更为常见（4.4%对12%）。
