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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临床疗效。方法 40例行甲状腺全切除治疗的原发性甲状腺功能亢进症合并甲状腺癌患者,并对其临床资料进行回顾性分析。结果本组40例患者术前均确诊为原发性甲状腺功能亢进症合并甲状腺癌,经超声检查患者均有结节,患者均行甲状腺全切除治疗,术后病理证实滤泡状癌4例,甲状腺乳头状腺癌34例,伴有颈部淋巴结转移2例;其中微小癌34例,双叶癌18例。术后患者均未发生永久性喉返神经损伤及低钙等并发症,术后对患者进行为期3年的随访,患者均未发生复发现象。结论将甲状腺全切除应用于原发性甲状腺功能亢进症合并甲状腺癌的治疗中可取得显著的效果,且具有较高的安全性,具有较高的临床价值,值得推广和应用。
Objective To investigate the clinical efficacy of total thyroidectomy in the treatment of primary hyperthyroidism with thyroid cancer. Methods Forty cases of primary thyroid hyperthyroidism complicated with thyroid cancer underwent total thyroidectomy were retrospectively analyzed. Results 40 cases of this group were diagnosed as primary thyroid hyperthyroidism with thyroid cancer before surgery, all patients had nodules by ultrasound, patients underwent total thyroidectomy, postoperative pathology confirmed 4 cases of follicular carcinoma, Thyroid papillary adenocarcinoma in 34 cases, accompanied by cervical lymph node metastasis in 2 cases; 34 cases of micro-cancer, double-leaf cancer in 18 cases. Postoperative patients did not occur permanent recurrent laryngeal nerve injury and complications such as low calcium, postoperative patients were followed up for a period of 3 years, the patient had no recurrence. Conclusion The application of total thyroidectomy in the treatment of primary hyperthyroidism with thyroid cancer can achieve remarkable results, with high safety, high clinical value, and worthy of promotion and application.