中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
32期
3-4,5
,共3页
贾冉%熊奇如%李方跃%张超
賈冉%熊奇如%李方躍%張超
가염%웅기여%리방약%장초
分化型甲状腺癌%甲状腺全切除术%术后并发症
分化型甲狀腺癌%甲狀腺全切除術%術後併髮癥
분화형갑상선암%갑상선전절제술%술후병발증
Differentiated thyroid carcinoma%Total thyroidectomyand%Postoperative complications
目的:探讨甲状腺全切除术治疗分化型甲状腺癌其术后并发症的影响因素。方法:回顾性分析2009年1月-2012年1月笔者所在医院收治的90例分化型甲状腺癌患者的临床资料,统计术后并发症的发生情况,分析可能影响甲状腺全切术后的并发症的相关因素。结果:全组无手术及住院期间死亡情况。喉返神经损伤4例(4.44%),1例为永久性损伤;甲状旁腺减低9例(10.00%),均为暂时性;喉上神经损伤4例(4.44%),均为暂时性。经研究结果显示,有无手术史是喉返神经损伤的影响因素。结论:分化型甲状腺癌是双侧甲状腺全切除的适应证,安全可行。
目的:探討甲狀腺全切除術治療分化型甲狀腺癌其術後併髮癥的影響因素。方法:迴顧性分析2009年1月-2012年1月筆者所在醫院收治的90例分化型甲狀腺癌患者的臨床資料,統計術後併髮癥的髮生情況,分析可能影響甲狀腺全切術後的併髮癥的相關因素。結果:全組無手術及住院期間死亡情況。喉返神經損傷4例(4.44%),1例為永久性損傷;甲狀徬腺減低9例(10.00%),均為暫時性;喉上神經損傷4例(4.44%),均為暫時性。經研究結果顯示,有無手術史是喉返神經損傷的影響因素。結論:分化型甲狀腺癌是雙側甲狀腺全切除的適應證,安全可行。
목적:탐토갑상선전절제술치료분화형갑상선암기술후병발증적영향인소。방법:회고성분석2009년1월-2012년1월필자소재의원수치적90례분화형갑상선암환자적림상자료,통계술후병발증적발생정황,분석가능영향갑상선전절술후적병발증적상관인소。결과:전조무수술급주원기간사망정황。후반신경손상4례(4.44%),1례위영구성손상;갑상방선감저9례(10.00%),균위잠시성;후상신경손상4례(4.44%),균위잠시성。경연구결과현시,유무수술사시후반신경손상적영향인소。결론:분화형갑상선암시쌍측갑상선전절제적괄응증,안전가행。
Objective:To investigate the influencing factors of postoperative complications for differentiated thyroid carcinoma.Method:The clinical data of 90 cases of differentiated thyroid carcinoma admitted to our hospital from January 2009 to January 2012 were reviewed retrospectively. Related factors that may affect the total thyroidectomy and according to statistics of the occurrence of postoperative complications were analyzed. Result:There were no death with operation or in hospital. There were 4 cases(4.44%) of recurrent laryngeal nerve injury,1 case of permanent injury;parathyroid decreased in 9 cases (10.00%), for temporary;4 cases of superior laryngeal nerve injury (4.44%),for temporary.The results showed that with or without surgery history is the influence factors of recurrent laryngeal nerve injury. Conclusion:Total thyroidectomy is essential operational mode for differentiated thyroid carcinoma,it is safe and feasible.