61 138

Cited 0 times in

Evaluation of thyroid function after bilateral subtotal thyroidectomy for Graves' disease: a long term follow up of 100 patients

Authors
 Sung Hoon Noh  ;  Euy Young Soh  ;  Cheong Soo Park  ;  Kyung Sik Lee  ;  Kap Bum Huh 
Citation
 YONSEI MEDICAL JOURNAL, Vol.35(2) : 177-183, 1994-06 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
1994-06
MeSH
Adolescent ; Adult ; Chi-Square Distribution ; Female ; Follow-Up Studies ; Graves Disease / physiopathology ; Graves Disease / surgery* ; Humans ; Logistic Models ; Male ; Middle Aged ; Prognosis ; Thyroid Gland / physiopathology* ; Thyroidectomy* / methods
Abstract
One hundred patients who underwent bilateral subtotal thyroidectomy for Graves' disease between January 1980 and September 1984 have been evaluated. The observation period ranged from 5 to 9 years, the average being 6.2 years. Postoperative thyroid function was evaluated with T3, T4 and TSH and compared with their clinical manifestations. Eighty-two patients became euthyroid, 14 patients had recurrence and 4 patients developed hypothyroidism. The thyroid hormone level of euthyroid patients were in an unstable state up to 5 years after the operation. Sixteen variables which might influence the postoperative recurrence and hypothyroidism were analyzed but no statistically significant factors were determined, although recurrences were found frequently in patients over 30 years, the patients with lower infiltration of lymphocytes and absent of fibrosis of thyroid tissue. The results obtained in the present study suggest that mean 6.0 gm of remnant thyroid is suitable for maintaining euthyroidism postoperatively in a majority of patients. In addition, patients should be followed closely for many years and should undergo hormonal determination periodically because recurrence and hypothyroidism can occur at 5 years or more after the operation.
Files in This Item:
T199400542.pdf Download
DOI
10.3349/ymj.1994.35.2.177
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/194904
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links