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甲状腺手术

Surgery of the thyroid gland.

作者信息

Rodigas P, Sufian S, Kaibara N, Matsumoto T

出版信息

Int Surg. 1977 Nov-Dec;62(11-12):588-91.

PMID:579347
Abstract

Records of 92 patients operated on for thyroid diseases were reviewed. There were four histologic groups: adenoma-56 (61%), thyrotoxicosis-22 (24%), cancer-10 (11%) and Hashimoto's thyroiditis-4 (4%). Among the cold nodules, 9% were malignant. Routine frozen section examination revealed three cases of cancer and three other cases were missed but were discovered on permanent section examination. The type of operations were lobectomy with or without isthmusectomy, subtotal thyroidectomy and modified radical neck dissection. Postoperative complications included two thyroid crises, two recurrent laryngeal nerve injuries, one laryngeal obstruction and hypothyroidism, and one wound infection. There was no surgical mortality.

摘要

对92例因甲状腺疾病接受手术治疗的患者记录进行了回顾。有四个组织学组:腺瘤56例(61%)、甲状腺毒症22例(24%)、癌症10例(11%)和桥本甲状腺炎4例(4%)。在冷结节中,9%为恶性。常规冰冻切片检查发现3例癌症,另有3例漏诊,但在永久切片检查时被发现。手术类型为有或无峡部切除术的叶切除术、甲状腺次全切除术和改良根治性颈清扫术。术后并发症包括2例甲状腺危象、2例喉返神经损伤、1例喉梗阻和甲状腺功能减退,以及1例伤口感染。无手术死亡病例。

相似文献

1
Surgery of the thyroid gland.甲状腺手术
Int Surg. 1977 Nov-Dec;62(11-12):588-91.
2
[Subtotal thyroidectomy or total thyroidectomy in the treatment of benign thyroid disease. Our experience].[甲状腺次全切除术或全甲状腺切除术治疗良性甲状腺疾病。我们的经验]
Minerva Chir. 1998 Apr;53(4):233-8.
3
Recurrent laryngeal nerve injury and preservation in thyroidectomy.甲状腺切除术中喉返神经损伤与保护
Saudi Med J. 2005 Nov;26(11):1746-9.
4
[Rate of complications with systematic exposure of the recurrent laryngeal nerve and parathyroid glands in operations for benign thyroid gland diseases].[良性甲状腺疾病手术中喉返神经及甲状旁腺系统性暴露的并发症发生率]
Zentralbl Chir. 1998;123(1):21-4.
5
Advantages of recurrent laryngeal nerve identification in thyroidectomy and parathyroidectomy and the importance of preoperative and postoperative laryngoscopic examination in more than 1000 nerves at risk.甲状腺切除术和甲状旁腺切除术中喉返神经识别的优势以及术前和术后喉镜检查对1000多条有风险神经的重要性。
Laryngoscope. 2002 Jan;112(1):124-33. doi: 10.1097/00005537-200201000-00022.
6
Total thyroidectomy in the treatment of thyroid disease.全甲状腺切除术治疗甲状腺疾病。
Laryngoscope. 1987 Aug;97(8 Pt 1):897-900.
7
Recurrent laryngeal nerve palsy after thyroidectomy with routine identification of the recurrent laryngeal nerve.甲状腺切除术中常规识别喉返神经后出现的喉返神经麻痹
Surgery. 2005 Mar;137(3):342-7. doi: 10.1016/j.surg.2004.09.008.
8
[Risk factors in recurrent nerve paralysis: a statistical analysis of 7566 cases of struma surgery].
Chirurg. 1991 Mar;62(3):182-7; discussion 188.
9
Thyroid surgery in children and adolescents.儿童和青少年的甲状腺手术
Int J Pediatr Otorhinolaryngol. 2004 Oct;68(10):1273-8. doi: 10.1016/j.ijporl.2004.04.024.
10
Surgically treated Hashimoto's thyroiditis.手术治疗的桥本甲状腺炎。
Acta Chir Hung. 1999;38(3-4):243-7.

引用本文的文献

1
Use and abuse of frozen section in the diagnosis of follicular thyroid lesions.冰冻切片在甲状腺滤泡性病变诊断中的应用与滥用
Endocr Pathol. 2005 Winter;16(4):285-93. doi: 10.1385/ep:16:4:285.