CAJ | 학술논문

目的探讨结节性甲状腺肿再次手术的原因及其对策．方法对116例再次手术的结节性甲状腺肿进行了回顾性分析．结果结节性甲状腺肿术后复发多为首次手术结节摘除或腺叶部分切除者．本组无手术死亡，喉返神经损伤4例，甲状腺功能低下26例，手足搐搦6例．116例中112例随访6个月-5a，无再次复发．结论选择正确的手术术式可减少结节性甲状腺肿的术后复发率，虽然再次手术风险大，并发症多，但如果强调手术技巧，手术中进行精细化的操作，完全可以降低甚至能够避免并发症的发生．
목적탐토결절성갑상선종재차수술적원인급기대책．방법대116례재차수술적결절성갑상선종진행료회고성분석．결과결절성갑상선종술후복발다위수차수술결절적제혹선협부분절제자．본조무수술사망，후반신경손상4례，갑상선공능저하26례，수족휵닉6례．116례중112례수방6개월-5a，무재차복발．결론선택정학적수술술식가감소결절성갑상선종적술후복발솔，수연재차수술풍험대，병발증다，단여과강조수술기교，수술중진행정세화적조작，완전가이강저심지능구피면병발증적발생．
Objective To discuss the causes and strategies for the reoperation of nodular goiter. Methods A retrospective analysis was performed on 116 patients with reoperation of nodular goiter. Results Most of patients with nodular goiter recurrence were those with simple removal of nodules or partial resection of the gland at the first operation. Among of 116 patients, there was no death,but there were post operative complications including 4 cases of recurrent laryngeal injury ,26 cases of hypothyroidism and form 6 cases of tetany. 112 cases were followed up form 6 months to 5 years and there was no patient who recurred again. Conclusion A proper selection of operative procedure can reduce the recurrence of nodular goiter after the operation. Although the reoperation is risk in complications, it is possible that the complications can be reduced or avoided if the surgeon is skilled surgically, and carefully and precisely during the operation.