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目的:对甲状腺癌患者行甲状腺全切术的临床效果及术后并发症的发生情况进行分析探讨。方法:对我院2009年1月-2013年6月收治的64例甲状腺癌患者行甲状腺全切术,手术前后对患者进行电子喉镜检查喉返神经功能,并记录患者的血清钙及并发症的发生情况。结果:手术后血清钙正常12例,血清钙低于正常但无症状30例。术后后暂时性声嘶3例,2例于3个月内恢复,1例永久性声带麻痹。结论:对甲状腺癌患者行甲状腺全切术的安全性比较高,在临床上值得应用推广。在手术过程中暴露喉返神经并保护甲状旁腺及其血供能够有效预防术后并发症的发生。
Objective: To analyze the clinical effect of thyroidectomy and the incidence of postoperative complications in thyroid cancer patients. Methods: Thyroidectomy was performed in 64 cases of thyroid cancer patients admitted from January 2009 to June 2013 in our hospital. Electronlaryngoscopy was performed to evaluate the recurrent laryngeal nerve function before and after the operation. Serum calcium and complications were recorded The occurrence of. Results: After operation, serum calcium was normal in 12 cases and serum calcium was lower than normal but asymptomatic in 30 cases. Three patients had temporary hoarseness after surgery, 2 patients recovered within 3 months, and 1 patient had permanent vocal cord paralysis. Conclusion: Thyroidectomy for patients with thyroid cancer safety is relatively high, it is clinically worthy of promotion. Exposing the recurrent laryngeal nerve and protecting the parathyroid gland and its blood supply during the operation can effectively prevent postoperative complications.