Journal of VolgSMU
Quarterly scientific-practical journal

UDK: 616-006.5:616-71:616.44

THE NEAREST AND LONG-TERM RESULTS OF SURGICAL TREATMENT OF FOCAL PATHOLOGY OF THE THYROID GLAND

Z.M. Sigal1, O.V. Surnina1,2, V.V. Bryndin1, O.A. Sigal3

1ФГБОУ ВО «Ижевская государственная медицинская академия» Министерства здравоохранения Российской Федерации; 2БУЗ УР «Республиканский клинико-диагностический центр Министерства здравоохранения Удмуртской Республики»; 3БУЗ УР «Городская поликлиника № 6 Мин

Abstract

Currently, thyroid gland diseases (TG) are in second place among other diseases of the endocrine system and the need for surgical interventions is increasing. Therefore the purpose of article is the analysis of the immediate and long-term results of surgical treatment of focal pathology of a thyroid gland. To a basis of work it is provided 10 – summer experience of BIH UR «Republican Clinical Diagnostic Center of Public Health Ministry of the Udmurt Republic». For characteristic of clinical material and studying of structure of nodal thyroid diseases stories of diseases and data of histologic researches of drugs TG of 623 patients were analysed. At various formations of a thyroid gland operations were carried out on the immediate and long-term results are analysed. In good-quality and malignancies of a thyroid gland specific indicators of local pulse and not pulse optical density are found. They define effective surgical tactics, indications to different types of an operative measure, promote prevention of a recurrence and complications in the next and remote postoperative the periods. The immediate and long-term results of treatment depend on the choice of an operative measure, timely diagnostics and also on recovery treatment after operation. When using in the presurgical period of the local optosonografichesky monitoring of focal pathology of a thyroid gland of bleedings, a necrosis of fabrics, iatrogenic complications and intraoperative damages of vessels, a recurrence offered and developed by us, lethality was not.

Keywords

fine-needle aspiration puncture biopsy, thyroid gland (TG), good-quality new growths, malignant new growths, cyst, adenoma.

Contacts

Сурнина Ольга Владимировна – к. м. н., доцент, преподаватель, зав. отделением ультразвуковой диагностики, Ижевская государственная медицинская академия, e-mail: uzd-ur@mail.ru