Röher H D
Langenbecks Arch Chir. 1978 Nov;347:137-44. doi: 10.1007/BF01579319.
For hyperthyroidism of Basedow's or Graves' type, surgery is the treatment of choice for large goiter, particularly in the presence of mechanical irritation, for cases of unsuccessful conservative medical treatment, or for cases where 131I-irradiation is contraindicated. The operative risk is less than 1%. Adequate preoperative antithyroid medication is obligatory because surgery should be carried out under euthyroid conditions.
对于巴塞多氏病或格雷夫斯氏病型甲状腺功能亢进症，手术是治疗大甲状腺肿的首选方法，特别是在存在机械性刺激的情况下、保守药物治疗失败的病例，或 131I 照射禁忌的病例。手术风险小于 1%。术前必须进行充分的抗甲状腺药物治疗，因为手术应在甲状腺功能正常的情况下进行。
