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目的总结甲状腺癌行甲状腺全切除或次全切除手术的操作方法及经验,为实施该手术提供参考。方法采取回顾性方法对2010年1月到2013年6月120例甲状腺癌行甲状腺全切除或次全切除手术治疗的患者临床资料进行分析。结果本组的120例患者均顺利的完成甲状腺全切除或次全切除手术,术后均出现有一过性低血钙症,但在术后1周内均恢复。30例患者出现有轻微的低钙血症,均经过1~2周的治疗症状消失。另外,本组的患者无1例出现永久性的四肢麻木和抽搐情况发生,所有的患者术后均恢复良好。结论临床中有效的掌握甲状腺全切除或次全切除手术的治疗原则和操作程序,并且在整个手术的过程中规范操作,合理的运用相关分离方法,有效的确保甲状旁腺与其血供的完整性,从而有效的降低术后并发症的发生。
Objective To summarize the operation method and experience of total thyroidectomy or subtotal thyroidectomy for thyroid cancer and provide references for the implementation of the operation. Methods The clinical data of 120 patients with thyroid cancer undergoing thyroidectomy or subtotal thyroidectomy from January 2010 to June 2013 were retrospectively analyzed. Results All 120 patients underwent complete or subtotal thyroidectomy. All of them had transient hypocalcemia after operation, but recovered within 1 week after operation. 30 patients had mild hypocalcemia, after 1 to 2 weeks of treatment symptoms disappeared. In addition, none of the patients in this group experienced permanent limb numbness and convulsions, and all patients recovered well after surgery. Conclusions The clinical treatment of thyroidectomy or subtotal resection is an effective way to master the principles and procedures of thyroidectomy. During the whole operation, the procedures and practices of the procedure should be used appropriately to ensure the integrity of the parathyroid gland and its blood supply , Thus effectively reducing the incidence of postoperative complications.