论文部分内容阅读
目的:探讨甲状腺再手术指征及手术方法。方法:回顾性分析行甲状腺再手术的24例病例,对再手术原因、手术适应症、方法及并发症的预防进行总结。结果:因疑癌残留再手术7例,良、恶性肿瘤复发再手术17例。再手术后发生并发症6例(25.0％),为喉返神经损伤2例,甲状旁腺损伤2例,甲状腺功能低下1例,食管损伤1例。结论:甲状腺再手术容易损伤喉返神经及甲状旁腺。严格规范化的甲状腺手术方式,是防止肿瘤复发,减少再手术及并发症的根本措施。
Objective: To investigate the indications and surgical methods of thyroid reoperation. Methods: A retrospective analysis of 24 cases of re-thyroidectomy cases, reoperation reasons, surgical indications, methods and complications prevention were summarized. Results: Seven cases were reopened due to suspected residual cancer, and 17 cases were relapsed after benign and malignant tumors. There were 6 cases (25.0%) of complications after reoperation, 2 cases of recurrent laryngeal nerve injury, 2 cases of parathyroid injury, 1 case of hypothyroidism and 1 case of esophageal injury. Conclusion: Re-thyroidectomy can easily damage the recurrent laryngeal nerve and parathyroid. Strict standardized thyroid surgery is to prevent tumor recurrence and reduce the re-operation and complications of the fundamental measures.