36 cases of recurrent thyroid surgical treatment of benign.docVIP

 PAGE \* MERGEFORMAT 7 36 cases of recurrent thyroid surgical treatment of benign Of: Yang Lijian, Li Feng, Huang Lin, Liu Liang, Laikai Xu, Xu Ning this, Wu Peisheng [Keywords:] thyroid, benign, recurrent Thyroid adenoma, nodular goiter and other thyroid is a common benign tumor, after surgical resection of clinical in general do not relapse, benign thyroid less chance of recurrence after surgery and postoperative recurrence were mainly seen in nodular goiter , and more than five years after surgery in March to 2002 year recurrence in May 2008, our hospital patients with recurrence of benign thyroid, 36 cases reported are summarized below. Materials and Methods 1. General Information The group of 36 patients, 6 males and 30 females, aged 30 to 62 years, mean age 48.6 years, 28 patients aged over 40, accounting for 78%. Of which 31 cases of nodular goiter and thyroid adenoma in 5 cases. Preoperative ultrasound B 30 patients with multiple tumor nodules, single nodule tumors in 6 cases. benign maximum 83 mm 28 mm 22 mm, the smallest 36 mm 25 mm 20 mm. associated with offset of 20 cases of tracheal compression , a voice hoarse change in 1 case. readmitted initial surgery to surgery less than 5 years in 5 cases, 5 to 10 years in 25 cases, 6 cases over 10 years. 2. Treatment The group, all patients received open neck, thyroid surgery. Surgical incision original neck skin incision, subcutaneous tissue, platysma, deep down in the platysma flap and adhesive tissue separation, select the incision along the trachea white line to cut the neck, cut off anterior muscles, anterior cervical muscles and the thyroid capsule separation between the adhesion, or select sternocleidomastoid medial incision, fully reveal the thyroid gland and the tumor, according to tumor size and tumor occupied thyroid thyroid decide to do the full cut or subtotal. surgical adhesions light from the starting position, the first lateral separation of the thyroid, and then d