分化型甲状腺癌行甲状腺全切除术后并发症分析

摘要

Objective:To investigate the influencing factors of postoperative complications for differentiated thyroid carcinoma.Method:The clinical data of 90 cases of differentiated thyroid carcinoma admitted to our hospital from January 2009 to January 2012 were reviewed retrospectively. Related factors that may affect the total thyroidectomy and according to statistics of the occurrence of postoperative complications were analyzed. Result:There were no death with operation or in hospital. There were 4 cases(4.44%) of recurrent laryngeal nerve injury,1 case of permanent injury;parathyroid decreased in 9 cases (10.00%), for temporary;4 cases of superior laryngeal nerve injury (4.44%),for temporary.The results showed that with or without surgery history is the influence factors of recurrent laryngeal nerve injury. Conclusion:Total thyroidectomy is essential operational mode for differentiated thyroid carcinoma,it is safe and feasible.%目的：探讨甲状腺全切除术治疗分化型甲状腺癌其术后并发症的影响因素。方法：回顾性分析2009年1月-2012年1月笔者所在医院收治的90例分化型甲状腺癌患者的临床资料，统计术后并发症的发生情况，分析可能影响甲状腺全切术后的并发症的相关因素。结果：全组无手术及住院期间死亡情况。喉返神经损伤4例(4.44%)，1例为永久性损伤；甲状旁腺减低9例(10.00%)，均为暂时性；喉上神经损伤4例(4.44%)，均为暂时性。经研究结果显示，有无手术史是喉返神经损伤的影响因素。结论：分化型甲状腺癌是双侧甲状腺全切除的适应证，安全可行。