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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并甲状腺癌的临床疗效。方法回顾分析本院2011年12月~2012年11月收治的47例原发性甲状腺功能亢进症并甲状腺癌患者的临床资料,均采取甲状腺全切除术,观察患者临床疗效。结果 47例患者经检查,均为甲状腺癌,通过甲状腺全切除术治疗,康复出院,无死亡;术后2例患者出现声音嘶哑,术后3周恢复;3例患者四肢麻木,1例患者抽搐,采取静脉钙剂治疗后痊愈。患者均给予1年随访,失访1例,随访率为97.9%;46例患者随访期间未复发甲状腺癌,也未发生转移现象。其中4例患者甲状腺功能出现衰退,占8.5%;采取甲状腺素治疗后,患者均痊愈。结论采取甲状腺全切除治疗原发性甲状腺功能亢进症并甲状腺癌疗效确切,具有较高的安全性有效性,不良反应少,值得临床推广使用。
Objective To investigate the clinical efficacy of total thyroidectomy in the treatment of primary hyperthyroidism with thyroid cancer. Methods The clinical data of 47 patients with primary hyperthyroidism and thyroid cancer admitted to our hospital from December 2011 to November 2012 were retrospectively analyzed. Total thyroidectomy was performed to observe the clinical effect. Results 47 patients were thyroid cancer after thyroidectomy. After thyroidectomy, the patients were discharged from the hospital without any death. Two patients had hoarseness after 3 weeks of operation, 3 weeks after operation, 3 patients had numbness of the limbs and 1 patient had convulsions , Taken after intravenous calcium treatment cured. Patients were given 1 year follow-up, 1 patient was lost, the follow-up rate was 97.9%; 46 patients without recurrence of thyroid cancer during follow-up, nor the phenomenon of metastasis. In 4 cases, thyroid function declined, accounting for 8.5%. After thyroxine treatment, the patients recovered. Conclusion The total thyroidectomy for the treatment of primary hyperthyroidism and thyroid cancer has the exact effect, with high safety and effectiveness, fewer adverse reactions, it is worth promoting the use of the clinic.