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儿童甲状腺机能亢进症的外科治疗

Surgical treatment of juvenile hyperthyroidism

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【作者】 韦兴中林兆熹

【Author】 WEI Xingzhong,LIN Zhaoxi. Department of Surgery, Affiliated Hospital of Zhaoqin Health School, Guangdong 526020,China

【机构】 广东省肇庆卫生学校附属医院外科!526020

【摘要】 目的 探讨儿童甲状腺机能亢进症 (简称甲亢 )的外科治疗效果。方法 以心得安加卢戈氏液作为术前准备 ,对 5 3例甲亢患儿行双侧甲状腺次全切除术。结果 本组无手术死亡 ,无神经损伤 ,不需输血 ,住院时间短 (平均 15 6d) ,术后恢复快。 39例获得随访 6个月~ 4 5年 ,甲亢治愈率 10 0 % ,无复发及甲状腺功能低下现象 ,术后发育正常。结论 手术治疗儿童甲亢疗效迅速确切 ,不影响其生长发育。

【Abstract】 Objective To evaluate the result of surgical treatment for juvenile hyperthyroidism.Method Preoparative preperation of propanolol and Lugol′s solution was used routinely.Patients underwent bilateral subtotal thyroidectomy under cervical plexus anesthesia.Result There was no operative mortality in this group,nor intraoperative nerve injury.Blood transfusion was not used.The average inhospital stay was 156 days,and the postoperative course was uneventful.39 cases were followed up from 6 months to 45 years. The cure rate was 100%. There were no recurrence and hypothyroidism.All patients were normotrophic both physically and mentally. Conclusion The authors came to the conclusion that thyroidectomy applied in juvenile hyperthyroidism could achieve a swift recovery without long-term morbidity.

【关键词】 甲状腺功能亢进症甲状腺切除术
【Key words】 HyperthyroidismThyroidectomy
  • 【文献出处】 中华普通外科杂志 ,Chinese Journal of General Surgery , 编辑部邮箱 ,2001年03期
  • 【分类号】R726.5
  • 【被引频次】3
  • 【下载频次】62
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