Results of surgical treatment for hyperthyroidism.

Archivum chirurgicum Neerlandicum Pub Date : 1979-01-01
J J Jakimowicz, B Mak, C H Stockmann
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Abstract

Unlabelled: In a 10-year period (1967-1977) 273 patients were operated upon for hyperthyroidism at the Department of Surgery of the St. Franciscus Gasthuis, Rotterdam. The evaluation of the results was carried out in 1978. A total of 205 patients appeared for investigations and drawing of blood samples. Total resection of one thyroid lobe and subtotal resection of the other lobe was the procedure of choce.

Results: 85% of the patients were euthyroid at the follow-up; 7% of the patients had a recurrent hyperthyroidism and 8% became hypothyroid. In three cases a persistent unilateral vocal cord paralysis was encountered. Surgery remains an effective and satisfactory method of treatment for appropriately selected cases, with a low rate of immediate and late complications.

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甲状腺机能亢进的手术治疗效果。
未标记:在10年期间(1967-1977),273例甲状腺功能亢进症患者在鹿特丹St. Franciscus Gasthuis外科接受手术。1978年对结果进行了评价。共有205名患者接受了调查和抽血。选择一侧甲状腺叶全切除,另一侧甲状腺叶次全切除。结果:随访时,85%的患者甲状腺功能正常;7%的患者复发性甲状腺功能亢进,8%的患者出现甲状腺功能减退。其中3例出现持续单侧声带麻痹。手术仍然是一个有效的和令人满意的治疗方法,适当选择的情况下,与低率的即时和晚期并发症。
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