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目的:探讨甲状腺癌手术并发症的预防措施。方法:对我院近年来收治的240例甲状腺癌患者的临床资料进行分析。240例手术中,术后出现并发症的有54例,无手术死亡病例。其中,2例患者出现永久性失声;15例出现喉返神经损伤;1例合并糖尿病的患者术后出现甲状腺脓肿;有11例患者出现低钙抽搐及肢端麻木症状。结论:甲状腺癌并发症已经受到医学界的广泛重视,应避免双侧全切手术。手术后患者应坚持终身服用甲状腺素片,以预防癌症转移和复发。
Objective: To investigate the preventive measures of surgical complications of thyroid cancer. Methods: The clinical data of 240 cases of thyroid cancer admitted to our hospital in recent years were analyzed. In the 240 cases of surgery, there were 54 cases of postoperative complications, no case of surgical death. Among them, 2 patients had permanent speech loss; 15 patients had recurrent laryngeal nerve injury; 1 patients with diabetes mellitus had postoperative thyroid abscess; 11 patients had hypocalcemic convulsions and acromegaly. Conclusion: The complications of thyroid cancer have received extensive attention in the medical community, bilateral total excision surgery should be avoided. Patients should adhere to lifelong thyroid hormone tablets after surgery to prevent cancer metastasis and recurrence.