PROGNOSTIC FACTORS FOR CHOOSING THE VOLUME OF OPERATION IN TOXIC FORMS OF GOITER

Аннотация

The article presents the results of treatment of 191 patients with toxic forms of goiter. The study of prognostic factors of surgical treatment of patients with toxic forms of goiter has established that the main cause of goiter relapse was the performance of organ-preserving operations in the volume of subtotal resection of the thyroid gland (relapse 17.2%), hemithyroidectomy (relapse 21.7%) in follicular colloid goiter with signs of hyperfunction (relapse 24.2%). An increase in the number of relapses from the duration of the disease and a decrease in the frequency of relapses with an increase in the volume of surgery were established. The choice of the volume of surgery for toxic forms of goiter should be based on prognostic factors - the level of antibodies to thyroid peroxidase, the indicators of which correlate with the pathomorphological form of toxic goiter. The proposed treatment and diagnostic algorithm allowed us to improve the quality of treatment by reducing the frequency of unsatisfactory results in the late postoperative period from 16.5% to 3.6%.