Baardsen A J, Johansen S
Kirurgisk avdeling Aust-Agder Sentralsjukehus, Arendal.
Tidsskr Nor Laegeforen. 1997 Jun 10;117(15):2160-3.
In the 15-year period from 1978 to 1992 344 consecutive patients unselected underwent thyroid surgery. The annual operative incidence per 100,000 inhabitants was 2.5 for cancer, 2.3 for Graves' disease and 20.5 for benign nodules. The patients were followed up from 3 to 18 years after surgery. The operative mortality was zero, but complications were recorded in 5.8% of the cases. There was permanent hypoparathyroidism in four patients and unilateral permanent vocal cord paralysis in six. No patients had bilateral paralysis. For better selection in cases with nodular goiter, fine needle aspiration cytology should be standard procedure. The results presented are in accordance with others which relate to benign nodular goiter. However, with regard to the smaller groups, cancer and Graves' disease, results could possibly be improved by centralizing the operative treatment for each speciality, which would have to be defined.
在1978年至1992年的15年期间，344例未经挑选的连续患者接受了甲状腺手术。每10万居民中癌症的年手术发病率为2.5，格雷夫斯病为2.3，良性结节为20.5。患者在术后3至18年接受随访。手术死亡率为零，但5.8%的病例记录有并发症。4例患者出现永久性甲状旁腺功能减退，6例出现单侧永久性声带麻痹。无患者出现双侧麻痹。为了在结节性甲状腺肿病例中进行更好的选择，细针穿刺细胞学检查应成为标准程序。所呈现的结果与其他关于良性结节性甲状腺肿的结果一致。然而，对于癌症和格雷夫斯病这两个较小的群体，通过集中每个专科的手术治疗可能会改善结果，这还有待明确。
