CAJ | 학술논문

目的：分析探讨甲状腺全切术的安全性及有效性。方法以2010年6月至2013年11月我科收治的268例甲状腺患者为研究对象，随机分为全切组和近全切组，运用电刀进行甲状腺切除术，对两组患者的临床资料运用统计学方法进行对比分析。结果所有患者均顺利完成手术，全切组有4例患者出现暂时性喉返神经损伤和5例暂时性甲状旁腺功能损伤，近全切组分别有5例和6例，两组间不具有显著性差异，两组均没出现永久性喉返神经损伤并发症。结论严格按照甲状腺切除术的操作步骤，不会增加甲状腺旁腺损伤的风险，甲状腺全切术是一项安全可行的手段。
목적：분석탐토갑상선전절술적안전성급유효성。방법이2010년6월지2013년11월아과수치적268례갑상선환자위연구대상，수궤분위전절조화근전절조，운용전도진행갑상선절제술，대량조환자적림상자료운용통계학방법진행대비분석。결과소유환자균순리완성수술，전절조유4례환자출현잠시성후반신경손상화5례잠시성갑상방선공능손상，근전절조분별유5례화6례，량조간불구유현저성차이，량조균몰출현영구성후반신경손상병발증。결론엄격안조갑상선절제술적조작보취，불회증가갑상선방선손상적풍험，갑상선전절술시일항안전가행적수단。
Objective To analyze the efficacy and safety of thyroid full cut method. Methods in June 2010 - november 2013 of 268 patients with thyroid admitted in our department as the research object, were randomly divided into the whole cut and cut nearly all groups, using electrotome thyroidectomy, the clinical data of two groups of patients by using statistical methods were analyzed. Results all patients were successfully completed surgery, the complete set of a temporary laryngeal recurrent nerve injury in 4 patients and 5 cases of temporary parathyroid function damage, nearly all cut set in 5 cases and 6 cases respectively, has no significant difference between the two groups, two groups are not permanent laryngeal recurrent nerve injury complication. Conclusion in strict accordance with the thyroid gland resection operation steps, does not increase the risk of damage to thyroid glands, thyroid full cut method is a safe and feasible method.