Puls T
AZ St Elisabeth, Herentals, Belgium.
Acta Otorhinolaryngol Belg. 1993;47(3):351-4.
A retrospective analysis was performed on 130 thyroid gland operations from January 1986 to September 1992. In 69% a lobectomy and in 28% a subtotal thyroidectomy was performed for benign thyroid disorders. A total thyroidectomy for malignancy was required in only 3%. Recurrences, operated earlier elsewhere accounted for 6% of the cases. A dramatic fall in diagnostic lobectomies is seen through the years since the use of Fine Needle Aspiration (FNA) as a decisive tool in surgical strategy. The total load of thyroid surgery remains the same, but it has become more therapeutic: hyperthyroidism and relief of tracheo-oesophageal compression by large goiters have become the major indications for surgery. These procedures are more demanding on the surgeon, but early surgery and standard technique can keep complications to a minimum.
对1986年1月至1992年9月期间的130例甲状腺手术进行了回顾性分析。69%的患者接受了甲状腺叶切除术，28%的患者因良性甲状腺疾病接受了甲状腺次全切除术。仅3%的患者因恶性肿瘤需要进行甲状腺全切除术。在其他地方早期手术的复发病例占6%。自使用细针穿刺抽吸术（FNA）作为手术策略的决定性工具以来，多年来诊断性甲状腺叶切除术的数量急剧下降。甲状腺手术的总量保持不变，但手术变得更具治疗性：甲状腺功能亢进症和大甲状腺肿缓解气管食管压迫已成为手术的主要适应症。这些手术对外科医生的要求更高，但早期手术和标准技术可将并发症降至最低。
