基底病全甲状腺切除术术后并发症:与非基底甲状腺肿手术的比较

A. Biet, R. Zaatar, V. Strunski, C. Page
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引用次数: 4

摘要

目的探讨甲状腺全切除术治疗Graves病和多结节性良性甲状腺肿大的并发症。材料与方法对176例(37例Graves病,139例多结节性良性甲状腺肿)进行41个月的回顾性研究。采用Kruskal-Wallis试验对术后血钙、喉性麻痹、出血性和感染性并发症进行研究和统计学比较。结果两组患者术后喉部麻痹、甲状旁腺功能低下、出血性并发症的发生率比较,差异无统计学意义。Graves病组术后低血钙发生率更高(第1天)。结论甲状腺全切除术在格雷夫斯病的手术治疗中,经过谨慎的术前医学准备,是一种安全的手术方法。为避免复发,必须行甲状腺全切除术而非甲状腺次全切除术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Complications postopératoires dans la thyroïdectomie totale pour maladie de Basedow : comparaison avec la chirurgie des goitres non basedowiens

Objectives

To study and compare postoperative complications of total thyroidectomy for Graves disease and multinodular benign goiters.

Material and methods

A retrospective study on 176 patients (37 with Graves disease and 139 with multinodular benign goiters) over a period of 41 months was conducted. Postoperative calcemia and laryngeal palsy as well as hemorrhagic and infectious complications were studied and statistically compared using the Kruskal-Wallis test.

Results

There was no statistical difference concerning the occurrence of postoperative laryngeal palsy, hypoparathyroidism or hemorrhagic complications between these two groups of patients. Only a more frequent immediate postoperative hypocalcemia (day 1) in the Graves disease group was found.

Conclusion

Total thyroidectomy in the surgical management of Graves disease, after a cautious medical preoperative preparation, appears to be a safe technique. Total thyroidectomy must be performed instead of subtotal thyroidectomy in order to avoid recurrences.

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