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双侧甲状腺癌的外科手术方式的选择仍存在争论 ,争论的焦点是甲状腺切除的范围。目前临床上对双侧甲状腺癌多采用甲状腺全切除术 ,但术后伴发甲状腺功能低下 ,临床上用甲状腺素进行替代治疗。但是 ,在最新颁布的《医疗事故分级标准 (试行 )》条例中 ,甲状腺手术后功能低下被定为医疗事故。因此 ,在现行医疗环境下 ,如何解决此矛盾显得尤为重要。我们特别邀请国内部分专家学者就此问题发表意见 ,同时也欢迎广大读者参与讨论。其目的在于分析利弊 ,以期寻找出适合我国国情的合理的治疗方法
Surgical options for bilateral thyroid cancer remain controversial and the focus of the debate is on the scope of thyroidectomy. At present, the clinical use of thyroid thyroidectomy more thyroidectomy, but postoperative thyroid dysfunction associated with clinical thyroid hormone replacement therapy. However, in the latest promulgation of the “Classification Standard for Medical Accidents (Trial)”, hypothyroidism after thyroid surgery is classified as a medical accident. Therefore, in the current medical environment, how to solve this contradiction is particularly important. We especially invite some domestic experts and scholars to express their opinions on this issue and also welcome readers to participate in the discussion. Its purpose is to analyze the advantages and disadvantages, with a view to find a reasonable treatment for our country’s conditions