[Comparative long-term results of surgical treatment of patients with diffuse toxic goiter].
Autor: | Aristarkhov VG; Pavlov Ryazan State Medical University, Ryazan, Russia., Kvasov AV; Pavlov Ryazan State Medical University, Ryazan, Russia., Donyukov AI; Pavlov Ryazan State Medical University, Ryazan, Russia., Aristarkhov RV; Pavlov Ryazan State Medical University, Ryazan, Russia., Biryukov SV; Pavlov Ryazan State Medical University, Ryazan, Russia., Pusin DA; Pavlov Ryazan State Medical University, Ryazan, Russia. |
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Jazyk: | ruština |
Zdroj: | Khirurgiia [Khirurgiia (Mosk)] 2017 (8), pp. 13-17. |
DOI: | 10.17116/hirurgia2017813-17 |
Abstrakt: | Aim: To analyze long-term outcomes of Graves' disease management. Material and Methods: There were 428 patients for the periods 2000-2004 and 2005-2010. Patients were called for examination and thyroid status control. 2 groups were compared: group 1 of 203 patients and group 2 of 225 patients. Results: It was found that after subtotal resection by original technique (patent 1802309 of the Russian Federation, MPK 5 G01N1, 1/28) in group 1 euthyroid state was observed in more than half (59.4%) of patients, hypothyroidism - 30.3% and recurrence - in 10.3% 10 years postoperatively. At the same time most of patients of group 2 (71.6%) after predominant thyroidectomy had hypothyroidism, euthyroid state was only in 24%. Postoperative recurrent diffuse toxic goiter incidence was 4.7%. Conclusion: The dynamics of postoperative thyroid status depending on type of surgery and follow-up was presented. |
Databáze: | MEDLINE |
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