外科学教学课件：甲状腺疾病.pdfVIP

Thyroid Disease 甲状腺疾病诊治中心 邬一军 HISTORICAL PERSPECTIVE The 16th and 17th centuries, classic anatomic descriptions of the thyroid a shield-shaped gland (thyreoides). By the 19th century, pathologic enlargement of the thyroid, or goiter Direct surgical with high complication and mortality rates. In the late 19th century, two surgeon-physiologists , Theodor Billroth and Emil Theodor Kocher, revolutionized treatment of thyroid diseases. The 20th century , hypothyroidism, hyperthyroidism, and thyroid cancer, minimally invasive diagnostic and surgical techniques have taken place. to become rapid, cost-effective, low-morbidity procedures. Theodor Kocher （1841~1917） Kocher received the Nobel Prize in 1909. Outline Outline Anatomy Physiology Anatomy Physiology Simple Goiter Simple Goiter Multinodular Goiter Multinodular Goiter Hyperthyroidism Hyperthyroidism Acute suppurative thyroiditis Acute suppurative thyroiditis Subacute Thyroiditis Subacute Thyroiditis Hashimotos Thyroiditis Hashimotos Thyroiditis Riedels Thyroiditis Riedels Thyroiditis Thyroid adenoma Thyroid adenoma Thyroid carcinoma Thyroid carcinoma Complications of Surgery Thyroid nodule Complications of Surgery Thyroid nodule Primary hyperparathyroidism Surgical Approaches Primary hyperparathyroidism Surgical Approaches Thyroi