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THE RESULTS OF THYROID SURGERY
TİROİD CERRAHİSİ SONUÇLARIMIZ
K.B.B. ve Baş Boyun Cerrahisi Dergisi, 1999, 7 (2): 135 - 138
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Medical and surgical treatment of tyhroid diseases has been carried out by many medical centers. In this study, medical records of 119 patients operated in our clinic between 1984-1997 have been reviewed retrospectively. The pathologic examination of 106 (89%) thyroid lesions were benign and 13 (11%) were malignant. The pathologic examination of benign thyroid lesions revealed that there were 83 cases of nodular colloid goiter, 14 cases of adenoma, 6 cases of adenoma and nodular colloid goiter, 2 cases of throiditis and l case of diffuse colloid goiter. The pathologic examination results of 13 malignant thyroid lesions were papillary carcinoma in 10 cases, follicular carcinoma in 2 cases and Hürthle celi carcînoma in l case. Subtotal thyroidectomy, thyroid lobectomy and isthmusectomy and total thyroidectomy operations were performed İn 61, 49 and 9 pati ents respectively. We detected vocal cord paralysis in 8 patients (6.7%), hypocalcemia in 4 patients (3.4 %), vocal cordparesis in l patient (0.8%) and postoperative hematoma in l patient (0.8%) in the postoperative period. Postoperative complication rate was consistent with the rates of other studies. Results of this study were discussed with the review of the literature.
ÖZET
Tiroid bezi hastalıklarının cerrahi ve medikal tedavisi birçok merkez tarafından uygulanmaktadır. Bu çalışmada kliniğimizde 1984 - 1997 yılları arasında tiroidektomi operasyonu yapılan toplam 119 hasta retrospektif olarak incelendi. Bu hastalarda 106 adet (%89) benign ve 13 adet (%11) malign tiroid kitlesi saptandı. Benign tiroid lezyonları, nodüler kolloidal guatr 83 vaka, adenom 14 vaka, adenom ve nodüler kolloidal guatr 6 vaka, tiroidit 2 vaka, diffüz kolloidal guatr l vaka idi. On üç malign tiroid lezyonundan 10\'unda papiller karsinom, 2\'sinde folliküler karsinom, l\'inde Hürthle hücreli karsinom saptandı. Altmış bir vakaya subtotal tiroidektomi, 49 vakaya lobektomi ve istmusektomi, 9 vakaya total tiroidektomi yapıldı. Postoperatif dönemde vokal kord paralizisi 8 vakada (%6.7), vokal kord parezisi 1 vakada (%0.8), hipokalsemi 4 vakada (%3.4) ve postoperatif hematom l vakada (%0.8), saptandı. Komplikasyon oranımız literatürde yayınlanan oranlarla uyumlu idi. Bu çalışmada elde edilen sonuçlar, kaynaklar gözden geçirilerek tartışıldı.