标题：外科治疗原发性甲状腺机能亢进并突眼征52例临床分析

      作者：刘世强，区小卫，张少锐，黄 文，梁兆煜
    (佛山市第二人民医院普通外科，广东 佛山 528000)

      卷次： 2013年24卷20期

      【摘要】 目的 分析外科治疗对原发性甲状腺功能亢进并突眼征患者突眼度的影响。方法 对52例原发
性甲状腺功能亢进并突眼征患者行双侧甲状腺次全切除术治疗，在手术治疗前及治疗后1 d、1个月、3个月、6个
月检测患者甲功及突眼度。结果 52例患者手术后甲亢病情治愈，术后1、3、6个月突眼与术前1 d对比突眼度
差异有统计学意义(P＜0.05)，术后患者突眼度逐渐减少，眼征好转。结论 原发性甲状腺机能亢进并突眼征患
者可行手术治疗，原发性甲状腺功能亢进并轻中度突眼患者外科治疗后突眼度可缩小，眼征改善。

      【关键词】 外科治疗；原发性甲状腺功能亢进；突眼度

      【中图分类号】 R581.1 【文献标识码】 A 【文章编号】 1003—6350（2013）20—2996—02


Clinical analysis of 52 cases of primary hyperthyroidism combined with exophthalmos by surgical treatment.
LIU Shi-qiang, OU Xiao-wei, ZHANG Shao-rui, HUANG Wen, LIANG Zhao-yu.
Department of General Surgery, the
Second People's Hospital of Foshan, Foshan 528000, Guangdong, CHINA

【Abstract】 Objective To analyze the impact of surgical treatment on patients with primary hypothyroidism
combined with exophthalmos. Methods Fifty-two patients of primary hypothyroidism combined with exophthalmos
were treated with bilateral subtotal thyroidectomy surgery. The thyroid function and exophthalmos degree were detect-
ed 1 day before operation and 1, 3, 6 months after operation. Results Primary hypothyroidism was cured in the 52
patients. There was statistically significant differences in exophthalmos degree 1 day before operation and 1, 3, 6
months after operation (P<0.05). The exophthalmos degree gradually reduced, and eye symptoms were improved.
Conclusion Surgical treatment is feasible for patients of primary hyperthyroidism combined with exophthalmos.
The exophthalmos degree of primary hyperthyroidism and mild-to-moderate exophthalmos can be reduced after surgi-
cal treatment, and the eye symptoms can be improved.

      【Key words】 Surgical treatment; Primary hyperthyroidism; Exophthalmos degree
基金项目：2011年度佛山市卫生局医学科研立项(编号：2011094)