CAJ | 학술논문

目的：探讨甲状腺全切术（total thyroidectomy，TT）在甲状腺疾病中的风险防范。方法回顾分析我科2010~2013年282例TT患者的临床资料。结果所有患者术后均无永久性喉返神经损伤和永久性低钙血症发生，无复发和出现药物并发症。结论 TT作为多发性结节性甲状腺肿及分化型甲状腺癌（differentiated thyroid cancer, DTC）常规手术方法，在为患者解除疾患的同时，其医疗风险是可以防范的。
목적：탐토갑상선전절술（total thyroidectomy，TT）재갑상선질병중적풍험방범。방법회고분석아과2010~2013년282례TT환자적림상자료。결과소유환자술후균무영구성후반신경손상화영구성저개혈증발생，무복발화출현약물병발증。결론 TT작위다발성결절성갑상선종급분화형갑상선암（differentiated thyroid cancer, DTC）상규수술방법，재위환자해제질환적동시，기의료풍험시가이방범적。
Objective To discuss the risk prevention in total thyroidectomy(TT)for thyroid diseases. Methods A retrospective analysis was made to the clinical data of 282 cases of TT during the period from 2010 to 2013. Results No permanent injury of recur-rent laryngeal nerve( RLN )nor permanent hypocalcemia occurred in all the patients; no reoccurrence nor drug complications were found. Conclusions TT is a routine surgery for multiple nodular goiter and differentiated thyroid cancer(DTC)and the medical risk can be well prevented.