| 甲状腺腺叶切除术后甲状腺功能变化的临床观察 |
| 投稿时间：2011-01-30 修订日期：2011-02-24 点此下载全文 |
| 引用本文：王会元,李非,罗斌.甲状腺腺叶切除术后甲状腺功能变化的临床观察[J].医学研究杂志,2012,41(1):136-138 |
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| 中文摘要:目的探讨甲状腺腺叶切除术后甲状腺功能低下(甲低)的发生率及其相关因素。方法回顾性分析2009年因良性疾患由同一组医生行甲状腺腺叶切除术68例患者的临床资料，和术前、术后1个月与术后3个月的甲状腺功能结果，判断甲状腺腺叶切除术后甲低的发生率及其危险因素。结果术后第1个月时甲低发生率为20.6% (14/68)；在第3个月时为13.0% (9/68)。甲低组(n=9)的平均年龄高于甲状腺功能正常组(n=59)（分别为57.2±12.6岁 vs 48.8±11.5岁, P=0.046），而且甲低组的术前TSH水平的平均值也较高（分别为2.17±0.90μU/L vs 1.45±0.68μU/L, P=0.007）。而患者的性别、病理类型以及切除腺叶侧别与术后是否发生甲低无关。结论甲状腺叶切除术后甲低的发生率为13.0%，年长患者以及术前TSH水平较高者应当密切监测甲状腺功能。 |
| 中文关键词:甲状腺叶切除术 甲状腺功能 甲状腺结节 |
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| Thyroid Function Alterations after Hemi-thyroidectomy |
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| Abstract:ObjectiveTo investigate the incidence of hypothyroidism after hemi-thyroidectomy and the associated relevant risk factors.MethodsWe conducted a retrospective review of all patients undergoing hemithyroidectomy for benign diseases in 2009 by the same surgeons. Thyroid function was tested preoperatively, 1 month and 3 months postoperatively. Risk factors of hypothyroidism were also analysed. ResultsHypothyroidism was diagnosed in 20.6% patients(14/68) and 13.0% patients(9/68) by the end of 1 month and 3 months postoperatively, respectively. Increased ages (57.2±12.6 years vs 48.8±11.5 years,P=0.046) and higher preoperative thyrotropin levels (2.17±0.90μU/L vs 1.45±0.68μU/L,P=0.007) were more common in hypothyroidism group. There was no correlation between sex, pathology or the side of lobectomy with hypothyrodisim. ConclusionThe incidence of hypothyroidism after hemithyroidectomy was 13.0%. The patients with an increased age or a relatively high preoperative TSH level need to be monitored closely. |
| keywords:Hemi-thyroidectomy Thyroid function Thyroid nodule |
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