PDF(Pubmed)
Abstract：
The choice between nodulectomy and lobectomy for managing thyroid nodules is a subject of debate in the field of thyroid surgery. The present study aims to share the experience of a single center in managing solitary thyroid nodules through nodulectomy from January 2023 to October 2023. The inclusion criteria encompassed symptomatic or suspicious solitary nodules and medically necessitated cases. The extracted data included patient demographics, medical history, symptoms, diagnostic details, surgery indication, procedure outcome and histopathological findings. The follow-up included clinic visits and phone calls. The mean age of the patients was 36.64±11.63 years, with 85.0% females and 15.0% males. Predominantly, patients were housewives (58.5%). Neck swelling (62.3%) was the most common presentation. Ultrasound examination revealed mixed nodules in more than half of the cases (54.7%). Right nodulectomy was performed in 26 cases (49.1%) and left nodulectomy in 23 (43.4%), and four cases (7.5%) underwent isthmusectomy. The mean operation time was 36.04±9.37 min and no drainage tube was used in any of the cases. One case (1.9%) of seroma was the only observed complication during the observational period. Nodulectomy may be a suitable choice for managing benign, large, solitary thyroid nodules, small suspicious nodules or microcarcinomas.
摘要：
在甲状腺手术领域，如何选择结节切除术和肺叶切除术来管理甲状腺结节是一个有争议的话题。本研究旨在分享2023年1月至2023年10月通过结节性结节切除术管理单发甲状腺结节的经验。纳入标准包括有症状或可疑的孤立性结节和医学需要的病例。提取的数据包括患者的人口统计，病史,症状,诊断详细信息,手术适应症,手术结果和组织病理学发现。随访包括诊所访问和电话。患者平均年龄为36.64±11.63岁,女性占85.0%，男性占15.0%。主要是,患者为家庭主妇(58.5%)。颈部肿胀（62.3%）是最常见的表现。超声检查发现一半以上的病例有混合结节（54.7％）。右侧结节性切除术26例(49.1%),左侧结节性切除术23例(43.4%),4例(7.5%)接受峡部切除术。平均手术时间为36.04±9.37min，所有病例均未使用引流管。1例（1.9％）血清肿是观察期间唯一观察到的并发症。结节切除术可能是治疗良性疾病的合适选择，大,单发甲状腺结节,小的可疑结节或微小癌。
