Volokh Iu A, Pak V P, Osipov D P
Vestn Khir Im I I Grek. 1988 Aug;141(8):134-6.
Postoperative hypothyrosis was diagnozed in 76 (6.17%) out of 1231 patients operated upon for various diseases of the thyroid gland. Among causes of this complication the authors point to lymphoid infiltration of tissue and changes in autoimmune processes. Adequate operative methods, leaving sufficient quantity of the gland tissue with special reference to cellular and humoral immunity are considered as prophylactic measures. The treatment includes thyroid drugs used by a special scheme with addition of corticosteroids in autoimmune forms of thyroiditis.
在1231例因各种甲状腺疾病接受手术的患者中,有76例(6.17%)被诊断为术后甲状腺功能减退。作者指出,该并发症的病因包括组织的淋巴细胞浸润和自身免疫过程的改变。适当的手术方法,特别是保留足够数量的腺组织,同时考虑细胞和体液免疫,被视为预防措施。治疗包括采用特殊方案使用甲状腺药物,并在自身免疫性甲状腺炎形式中添加皮质类固醇。