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Khirurgiia (Mosk) ; (8): 13-17, 2017.
Article in Russian | MEDLINE | ID: mdl-28805773

ABSTRACT

AIM: To analyze long-term outcomes of Graves' disease management. MATERIAL AND METHODS: There were 428 patients for the periods 2000-2004 and 2005-2010. Patients were called for examination and thyroid status control. 2 groups were compared: group 1 of 203 patients and group 2 of 225 patients. RESULTS: It was found that after subtotal resection by original technique (patent 1802309 of the Russian Federation, MPK 5 G01N1, 1/28) in group 1 euthyroid state was observed in more than half (59.4%) of patients, hypothyroidism - 30.3% and recurrence - in 10.3% 10 years postoperatively. At the same time most of patients of group 2 (71.6%) after predominant thyroidectomy had hypothyroidism, euthyroid state was only in 24%. Postoperative recurrent diffuse toxic goiter incidence was 4.7%. CONCLUSION: The dynamics of postoperative thyroid status depending on type of surgery and follow-up was presented.


Subject(s)
Graves Disease/surgery , Hypothyroidism , Long Term Adverse Effects , Postoperative Complications , Thyroidectomy , Adult , Female , Follow-Up Studies , Graves Disease/diagnosis , Graves Disease/physiopathology , Humans , Hypothyroidism/diagnosis , Hypothyroidism/etiology , Hypothyroidism/prevention & control , Long Term Adverse Effects/diagnosis , Long Term Adverse Effects/prevention & control , Male , Middle Aged , Outcome and Process Assessment, Health Care , Patient Selection , Postoperative Complications/diagnosis , Postoperative Complications/etiology , Postoperative Complications/prevention & control , Russia , Secondary Prevention/methods , Thyroid Gland/diagnostic imaging , Thyroid Gland/surgery , Thyroidectomy/adverse effects , Thyroidectomy/methods
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