Articolul precedent |
Articolul urmator |
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Ultima descărcare din IBN: 2024-04-11 20:30 |
SM ISO690:2012 BUJAC, Mariana, HOTINEANU, Adrian, ILIADI, Alexandru. Managementul chirurgical în tratamentul guşei toxice difuze. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 390. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||||
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Pag. 390-390 | |||||||
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Background. After surgical treatment of patients with GDT, thyrotoxicosis recurs in 0.5-10% of cases, and hypothyroidism is marked in 50 - 84% cases. This fact argues for the intensification of research aimed at optimizing the results of surgical treatment. Objective of the study. Determination of subtotal thyroidectomy in treatment of diffuse toxic goiter. Material and Methods. During 2015-2020 the State Medical Surgical Clinic 2 "N.Testemiţanu" were operated 159 (26,5%) DTG. Male / female ratio was 31/128 (1:5), aged between 16 and 71 years. Patients underwent examination required hormone, ultrasonography, scintigraphy. Indications for surgery were: gland volume , no remission of drug treatment, frequent recurrence by altering the body's vital functions. Results. All patients underwent subtotal thyroidectomy retouching thyroid paratraheal abutments (3 ± 0.9cm ³). In the early postoperative period were noted following complications: wound hematoma – 3(1,8%) cases, transient dysphonia – 3(1,8%) cases, hypoparathyroidism – 1(1,6%) case. Of late complications were recorded 6(3,77%) cases of recurrence DTG. On 81(50,9%) of operated patients were investigated in dynamics during 1- 5 years. Of these 32(39,5%) have made a slight hypothyroidism 49(61,5%) - average hypothyroidism subsequently cleared medically. Conclusion. The obtained results show that subtotal thyroidectomy is the method of choice in the treatment DGT. |
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Cuvinte-cheie thyroid gland, thyroidectomy, hyperthyroidism, glandă tiroidă, tiroidectomie, hipertiroidie |
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