CAJ | 학술논문

　　目的探讨有效的外科手术方式治疗结节性甲状腺肿。方法对我院2009年12月～2012年12月期间采取外科治疗的300例结节性甲状腺肿患者（其中20例伴癌变）的临床资料进行回顾性分析。结果经调查，300例结节性甲状腺肿患者所采取的手术分别有4种，包括全切除术、次全切除术、甲状腺局部切除术以及结节摘除术。300例患者的手术过程顺利，术后未有呼吸困难、血肿、伤口感染、喉头水肿、喉上神经损伤等并发症，手术总治愈率为98.33％，术后随访期间有5例患者（非伴癌变患者）复发。结论合理的外科手术方式治疗对结节性甲状腺肿具有明显的疗效，复发率低、痊愈率高，值得在临床上推广应用。
　　목적탐토유효적외과수술방식치료결절성갑상선종。방법대아원2009년12월～2012년12월기간채취외과치료적300례결절성갑상선종환자（기중20례반암변）적림상자료진행회고성분석。결과경조사，300례결절성갑상선종환자소채취적수술분별유4충，포괄전절제술、차전절제술、갑상선국부절제술이급결절적제술。300례환자적수술과정순리，술후미유호흡곤난、혈종、상구감염、후두수종、후상신경손상등병발증，수술총치유솔위98.33％，술후수방기간유5례환자（비반암변환자）복발。결론합리적외과수술방식치료대결절성갑상선종구유명현적료효，복발솔저、전유솔고，치득재림상상추엄응용。
Objective To explore the surgical treatment for nodular goiter(NG). Methods The clinical data of 300 cases with nodular goiter was analyzed by using the surgical treatment from Dec.2009 to Dec.2012 in our hospital retrospectively. Results There were four main strategies were included:total thyroidectomy,subtotal thyroidectomy,local mass resection for thyroid carcinoma and nodule excision among 300 patients with nodular goiter. The operation went smoothly,without complication such as dyspnea,hematoma,infection,laryngeal edema and injury of superior laryngeal nerve,etc.The total cure rate of operation was 98.33%,recurrence(non-combined with canceration patients)occurred in 5 of 300 patients after operation follow-up. Conclusion The reasonable surgical procedure has a better effect, lower recurrence rate and higher cure rate in the treatment of nodular goiter patients,and Is worth in on promoting the application clinically.