CAJ | 학술논문

目的：探讨甲状腺功能亢进症的外科手术效果及体会。方法将128例甲状腺功能亢进症患者行外科手术治疗。结果本组患者均治愈出院，无1例死亡，平均手术时间为（61.2±22.8）min，术中平均出血量为（63.9±32.5）mL，术后平均住院时间为（5.8±1.3）d。术后出现并发症7例，其中呼吸困难4例，短暂性声音嘶哑2例，均在术后3d内完全恢复；术后1例轻度呛咳，术后7d内恢复。结论采用经过改良甲状腺次全切术治疗甲状腺亢进症，充分的术前准备，合理的手术操作，就能使创伤减少，术中出血少，手术时间短，手术切口小，平整美观，美容效果佳，还能降低并发症，提高治愈率。
목적：탐토갑상선공능항진증적외과수술효과급체회。방법장128례갑상선공능항진증환자행외과수술치료。결과본조환자균치유출원，무1례사망，평균수술시간위（61.2±22.8）min，술중평균출혈량위（63.9±32.5）mL，술후평균주원시간위（5.8±1.3）d。술후출현병발증7례，기중호흡곤난4례，단잠성성음시아2례，균재술후3d내완전회복；술후1례경도창해，술후7d내회복。결론채용경과개량갑상선차전절술치료갑상선항진증，충분적술전준비，합리적수술조작，취능사창상감소，술중출혈소，수술시간단，수술절구소，평정미관，미용효과가，환능강저병발증，제고치유솔。
Objective To discuss the Effects and experience of hyperthyroidism surgery. Methods 128 patients with hyperthyroidism were alltreated by surgical. Results The patients were allcured, no deaths, average operation time was (61.2 ± 22.8) min, average intraoperative blood loss was (63.9 ± 32.5) ml, average hospitallstay was (5.8 ± 1.3) d. Complication was7 cases after operation, dif iculty breathing, transient voice hoarse two cases are fully restored in the postoperative 3d; postoperative patients with mild cough, within 7 days after surgery recovery. Conclusion Using modified thyroid resection treatment of hyperparathyroidism, adequate preoperative preparation, a reasonable surgicalloperation, willbe able to reduce trauma, less bleeding, shorter operative time, surgicallincision is small, neat and beautiful, good cosmetic results, can reduce complications and improve the cure rate.