IMPROVEMENT OF THE INTRAOPERATIVE THYROMETRY METHOD IN THE SURGICAL TREATMENT OF BENIGN THYROID GLAND PATHOLOGIES

Аннотация

Determining the size and volume of residual thyroid tissue after subtotal resection of the thyroid gland, the functional maintenance of the stable balance of thyroid hormones after surgery, the importance of prevention of hypothyroidism, and ways to improve the method of intraoperative thyrometry are discussed. For the examination and treatment of patients, we selected 124 patients who were treated with the diagnosis of benign pathologies of the thyroid gland during 2014-2016 in the surgical department of the Samarkand City Medical Association. All patients were divided into 2 groups: the main group consisted of 66 patients. In these patients, intraoperative residual thyroid tissue volume was determined using a sterile standard thread. 58 patients in the control group. Intraoperative residual thyroid tissue volume was determined by Dj.Brunn's method. All patients underwent a complete clinical and diagnostic examination, necessary paraclinical, biochemical and instrumental examinations were performed. During the examination, according to the classification of O. V. Nikolaev (1952), in the main and control groups, 28 (22) patients with III degree, 30 (27) patients with IV degree, and 8 (9) patients with V degree nodular nontoxic goiter were surgically treated. Among them, 42 (33) patients have nodes in one part of the thyroid gland, in 24 (25) patients in both parts. Thyroid status was studied in all patients, TTG level corresponded to euthyroidism (3.1±0.9 μME/ml). 8 (7) patients were diagnosed with hyperthyroidism only on the basis of examination. In 11 (6) patients, the esophagus was examined by X-ray contrast to determine the spread of the process and the degree of compression of the neck. 9(7) patients underwent MSCT, MRI of the neck and chest. As a result of examination, it was found that retrotrocheal location was found in 12(10) patients, and in 8(7) patients, nodes were located in the neck-behind-chest area. Of these, 7(4) patients had compression syndrome, 8(6) patients had fibrotic nodules.