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目的：探讨改良的甲状腺次全切除术治疗甲状腺机能亢进（ 甲亢） 的疗效及价值。方法：采用选择性的次全切除法、不暴露喉返神经、不结扎甲状腺下动脉主干、包膜内结扎其分支、采用综合性的保护神经和甲状旁腺措施的手术方法治疗甲亢１３１ 例。结果：全组术后无声音低哑。发生呛咳１ 例，１ 周后恢复正常。出现甲状旁腺功能低下２ 例，３ｄ 后消失。随访１ ～３ 年，仅１ 例出现轻度甲亢症，无甲状腺功能低下。结论：甲状腺次全切除时采用本方法能减少神经和甲状旁腺损伤。
Objective: To investigate the efficacy and value of modified subtotal thyroidectomy for hyperthyroidism (Hyperthyroidism). Methods: A total of 131 cases of hyperthyroidism were treated by selective subtotal resection without exposing the recurrent laryngeal nerve, without ligating the trunk of the thyroid artery and ligating its branches in the capsule. Results: There was no sound dumb in the whole group. Choke occurred in 1 case, returned to normal after 1 week. 2 cases of hypoparathyroidism, disappeared after 3d. Follow-up 1-3 years, only 1 case of mild hyperthyroidism, no hypothyroidism. Conclusion: The subtotal thyroidectomy using this method can reduce nerve and parathyroid injury.