EXPERIENCE OF SURGICAL TREATMENT OF THYROID AND PARATHYROID DISEASES
Rubrics: SURGERY & NEUROSURGERY
Authors:
1.
Irkutsk, Irkutsk region, Russian Federation
2.
Irkutskiy nauchnyy centr hirurgii i travmatologii
Irkutsk, Irkutsk region, Russian Federation
Irkutsk, Irkutsk region, Russian Federation
3.
Irkutsk, Irkutsk region, Russian Federation
4.
Irkutsk, Irkutsk region, Russian Federation
5.
Irkutsk, Irkutsk region, Russian Federation
6.
Irkutsk, Irkutsk region, Russian Federation
7.
Irkutsk, Irkutsk region, Russian Federation
8.
Irkutsk, Irkutsk region, Russian Federation
Type:
Article
Pages:
from 118
to 123
Status:
Published
Received:
14.11.2017
Accepted:
30.11.2017
Published:
30.11.2017
Subject area:
UDK 61 Медицина. Охрана здоровья
Language:
Russian
Keywords:
tireoidektomiya, paratireoidektomiya
Abstract (English):
Obosnovanie. Na segodnyashniy den' nekotorye hirurgicheskie aspekty lecheniya dobrokachestvennyh zabole- vaniy schitovidnoy i okoloschitovidnyh zhelez ostayutsya shiroko obsuzhdaemymi. Cel' issledovaniya: pred- stavit' opyt kollektiva v hirurgicheskom lechenii dobrokachestvennyh zabolevaniy schitovidnoy zhelezy i okoloschitovidnyh zhelez. Metody. Proveden retrospektivnyy analiz rezul'tatov hirurgicheskogo lecheniya 1511 pacienta, operi- rovannogo po povodu dobrokachestvennyh zabolevaniy schitovidnoy zhelezy i okoloschitovidnyh zhelez za period s 2005 g. po aprel' 2017 g. v torakal'nom hirurgicheskom otdelenii GBUZ IOKB. Rezul'taty. Pri zabolevaniyah schitovidnoy zhelezy v 73,6 % sluchaev vypolnyalas' tireoidektomiya. Chastota posleoperacionnyh oslozhneniy: parez gortani – 1,37 % sluchaev, gipoparatireoz – 0,84 %, gemorragicheskie oslozhneniya – 1,2 %. Pri pervichnom giperparatireoze v 99 % sluchaev vypolnena selektivnaya paratireo- idektomiya. Stoykogo gipoparatireoza i pareza gortani ne vyyavleno. Pri vtorichnom giperparatireoze v 66,3 % sluchaev vypolnena total'naya paratireoidektomiya s dissekciey central'noy kletchatki shei, verhnego sredosteniya i verhnih rogov vilochkovoy zhelezy. Stoykiy parez gortani byl ustanovlen v 3,3 % sluchaev, gemorragicheskie oslozhneniya – v 3,3 %. Zaklyuchenie. Postoyannyy etapnyy analiz sobstvennyh dannyh pozvolyaet argumentirovat' otnoshenie avtorov k spornym voprosam hirurgii dobrokachestvennyh zabolevaniy schitovidnoy i okoloschitovidnyh zhelez. Argumentaciya svyazana s nizkim riskom persistencii i recidiva zabolevaniy, priemlemoy chastotoy posleoperacionnyh oslozhneniy i otsutstviem letal'nosti.
Obosnovanie. Na segodnyashniy den' nekotorye hirurgicheskie aspekty lecheniya dobrokachestvennyh zabole- vaniy schitovidnoy i okoloschitovidnyh zhelez ostayutsya shiroko obsuzhdaemymi. Cel' issledovaniya: pred- stavit' opyt kollektiva v hirurgicheskom lechenii dobrokachestvennyh zabolevaniy schitovidnoy zhelezy i okoloschitovidnyh zhelez. Metody. Proveden retrospektivnyy analiz rezul'tatov hirurgicheskogo lecheniya 1511 pacienta, operi- rovannogo po povodu dobrokachestvennyh zabolevaniy schitovidnoy zhelezy i okoloschitovidnyh zhelez za period s 2005 g. po aprel' 2017 g. v torakal'nom hirurgicheskom otdelenii GBUZ IOKB. Rezul'taty. Pri zabolevaniyah schitovidnoy zhelezy v 73,6 % sluchaev vypolnyalas' tireoidektomiya. Chastota posleoperacionnyh oslozhneniy: parez gortani – 1,37 % sluchaev, gipoparatireoz – 0,84 %, gemorragicheskie oslozhneniya – 1,2 %. Pri pervichnom giperparatireoze v 99 % sluchaev vypolnena selektivnaya paratireo- idektomiya. Stoykogo gipoparatireoza i pareza gortani ne vyyavleno. Pri vtorichnom giperparatireoze v 66,3 % sluchaev vypolnena total'naya paratireoidektomiya s dissekciey central'noy kletchatki shei, verhnego sredosteniya i verhnih rogov vilochkovoy zhelezy. Stoykiy parez gortani byl ustanovlen v 3,3 % sluchaev, gemorragicheskie oslozhneniya – v 3,3 %. Zaklyuchenie. Postoyannyy etapnyy analiz sobstvennyh dannyh pozvolyaet argumentirovat' otnoshenie avtorov k spornym voprosam hirurgii dobrokachestvennyh zabolevaniy schitovidnoy i okoloschitovidnyh zhelez. Argumentaciya svyazana s nizkim riskom persistencii i recidiva zabolevaniy, priemlemoy chastotoy posleoperacionnyh oslozhneniy i otsutstviem letal'nosti.
Keywords:
tireoidektomiya, paratireoidektomiya
tireoidektomiya, paratireoidektomiya
1. Opyt hirurgicheskogo lecheniya dobrokachestvennyh zabolevaniy
