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目的探讨甲状腺癌行甲状腺全切除术的适应证及操作技巧,以减少术后并发症。方法对本院1998年9月~2005年9月实施的54例甲状腺癌患者行甲状腺全切除术进行回顾性分析。结果54例患者术后出现低钙血症者共5例(占9.25%),均为暂时性低钙,2例(占3.70%)永久性声嘶。结论甲状腺全切除术是治疗甲状腺癌的重要手段,但应严格选择手术适应证,避免过度治疗。其术中操作尤为关键,尽量将术后并发症降至最低。
Objective To investigate the indications and operating skills of total thyroidectomy for thyroid cancer to reduce postoperative complications. Methods A retrospective analysis of 54 cases of thyroid cancer undergoing total thyroidectomy in our hospital from September 1998 to September 2005 was performed. Results A total of 5 patients (9.25%) had hypocalcemia after operation, all of them were transient hypocalcemia and 2 patients (3.70%) had permanent hoarseness. Conclusions Total thyroidectomy is an important treatment for thyroid cancer. However, surgical indications should be strictly selected to avoid over-treatment. Its operation is particularly critical, try to minimize postoperative complications.