【摘要】 目的探讨复发性结节性甲状腺肿再次手术治疗的方法及并发症的预防。方法回顾性分析2000年1月—2010年8月期间39例结节性甲状腺肿再次手术治疗患者的临床资料,其中普外科收治的368例结节性甲状腺肿患者术后复发31例,外院8例。结果复发病例中首次手术21例为单纯结节切除或腺叶部分切除术;6例为单侧腺体全切或次全切,4例为一侧腺叶全切、对侧次全切或部分切除,8例首次术式不详。再次手术一侧全切加对侧次全切或部分切除15例,一侧次全切加对侧次全切8例,一侧次全切10例,一侧全切加峡部切除5例,双侧全部切除1例。发生暂时的声音嘶哑1例,经治疗半年后恢复。2例术后出现手足抽搐,口麻,补钙治疗后3周~6月恢复。结论复发性结节性甲状腺肿再次手术难度增加,易出现并发症,掌握必要的手术技巧,术中精细操作可以减少和避免并发症的发生。更多还原

【Abstract】 Objective To explore the treatment of recurrent nodular goiter reoperation and prevention of complications.Methods Retrospectively analyze clinical data of recurrent nodular goiter reoperation 39 patients from Jan 2000 to Aug 2010,other hospital 8 cases.Results The first operation 21 cases were pure nodules excision or glandular lobe partial nephrectomy,6 cases were unilateral glands total resection or subtotal ectomy,4 cases were one side glands total resection,opposite side subtotal ectomy or partial resection,8 cases in unknown.Reoperation one side total resection and opposite side subtotal ectomy or partial resection 15 cases,one side total resection and opposite side subtotal ectomy 8 cases,one side subtotal ectomy 10 cases,one side total resection and isthmus resection 5cases.Double sides total resection 1 case.One case occurred temporary voice hoarse and recovered after half year treatment.2 cases appeared limbs twitching,mouth numb and recovered after 3 weeks to 6 months calcium treatment.Conclusions Recurrent nodular goiter reoperation is difficult,often appear complications,master necessary operation skills and accurate operation can reduce and avoid complications.更多还原