Sussi P L, Iseppi P, Burro A
Chir Ital. 1985 Dec;37(6):582-93.
The authors, in the light of the data of the literature, study the problem of the surgical treatment of Basedow disease. Besides those who suggest the total thyroidectomy as an ultimately curative intervention, most of surgeons prefer the subtotal thyroidectomy. However, the result of such operation is doubtful as to postoperative hypo- and hyperthyroidism, due to the operativeness of factors of not only biological, but also technical nature. In order to make the therapeutical result as satisfactory as possible, the literature suggests some particular surgical solutions, such as ligature of thyroid artery, limited subtotal thyroidectomy and modified subtotal thyroidectomy, which seem to obtain satisfactory results from the clinical standpoint.
作者根据文献资料研究了突眼性甲状腺肿的外科治疗问题。除了那些建议将全甲状腺切除术作为最终治愈性干预措施的人之外,大多数外科医生更喜欢次全甲状腺切除术。然而,由于不仅存在生物学因素,还存在技术因素的可操作性,这种手术在术后甲状腺功能减退和亢进方面的结果是值得怀疑的。为了使治疗结果尽可能令人满意,文献提出了一些特殊的手术解决方案,如甲状腺动脉结扎术、有限次全甲状腺切除术和改良次全甲状腺切除术,从临床角度来看,这些方法似乎能取得令人满意的结果。