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本文报告甲状腺机能亢进100例手术治疗体会。其中原发性甲亢92例,继发性8例。手术死亡率1%。作者提出游离甲状腺时,先处理甲状腺下极、中静脉及峡部;处理甲状腺上极血管前,先用“7”号丝线作引线,近心端结扎两次,然后钳夹间切断,收到满意效果。术中反复检查病人发音,特别对喉返神经解剖变异者更重要。术中使用电刀,出血少、速度快。术后小胶管闭合引流,有利于防止切口感染。
This article reports 100 cases of hyperthyroidism surgical treatment experience. There were 92 cases of primary hyperthyroidism and 8 cases of secondary hyperthyroidism. Surgical mortality 1%. When the authors proposed free thyroid glands, they first processed the thyroid inferior pole, the middle vein, and the isthmus; before processing the thyroid superior vascular, they used the “7” silk thread as the lead, ligated twice proximally, and then cut off between the jaws and received satisfaction. effect. Repeatedly checking the patient’s pronunciation during the surgery, especially for the recurrent laryngeal nerve anatomical variation is more important. Electrosurgical procedures are used during surgery to reduce bleeding and speed. Closed drainage after the small hose is conducive to prevent wound infection.