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目的探讨甲状腺全切除治疗原发性甲状腺功能亢进症合并甲状腺癌的诊断和治疗方法。方法对本院20例原发性甲状腺功能亢进症合并甲状腺癌的临床治疗和诊断资料进行回顾性的分析。结果 20例患者手术前都确诊为原发性甲状腺功能亢进症合并甲状腺癌,对其患者进行超声检查都发现有结节,对所有的病例都采用甲状腺全切除手术治疗,手术后病理证实滤泡状癌为20%,乳头状癌为85%,双叶癌为35%,微小癌为85%。并且手术后都没有永久性的喉返神经损伤和永久性的低钙并发症。对其患者手术治疗后的回访,没有发现甲状腺功能亢进症合并甲状腺癌复发的情况。讨论甲状腺全切除治疗原发性甲状腺功能亢进症合并甲状腺癌临床效果显著,且安全可靠,还兼顾治疗了原发性甲状腺功能亢进症和甲状腺癌,治疗的结果显示并发症的发生率并没有明显的增加。
Objective To investigate the total thyroidectomy for the treatment of primary hyperthyroidism with thyroid cancer diagnosis and treatment. Methods The clinical data of 20 patients with primary hyperthyroidism complicated with thyroid cancer in our hospital were analyzed retrospectively. Results Twenty patients were diagnosed as primary hyperthyroidism complicated with thyroid cancer before operation, all of them were found nodules by ultrasonography. Total thyroidectomy was performed in all the cases. Follicles were confirmed by pathology after operation 20% for carcinoma of the cervix, 85% for papillary carcinoma, 35% for bilobas and 85% for micrometastases. And there is no permanent recurrent laryngeal nerve injury and permanent hypocalcemia after surgery. After the surgical treatment of patients with their return visit, no recurrence of thyroid hyperthyroidism associated with thyroid cancer was found. Discussion of total thyroidectomy for primary hyperthyroidism with thyroid cancer clinical effect was significant, and safe and reliable, but also take into account the treatment of primary hyperthyroidism and thyroid cancer, the results of the treatment showed no significant complication rate Increase.