Results of Differentiated Surgical Treatment of Benign Origin Thyroid Nodules

Abstract

Relevance. According to WHO data, nodular goiter is present in 7% of the world's population, while the frequency of nodular forms of goiter in the structure of thyroid diseases varies between 65-80%.

         Objective: to improve the results of surgical treatment of patients with benign thyroid nodules by developing a differentiated approach to the choice of the volume of surgery.

         Material and methods. Surgical treatment of 368 patients with thyroid nodules operated on in the period 2005-2018 were analyzed in the 1^stclinic of the Samarkand Medical Institute. The age of patients at the time of the operation was from 18 to 77 years (average age 49.4+11.8 years), women-291 (79.1%), men – 77 (20.9%).

         Results. Retrospective analysis of results of operations depending on the data histological studies showed that the main cause of relapse of NFGT was nodular cystic colloid goiter with the centers of the adenomatosis (63,6%) and a combination of different types of adenomas with multinodular colloid goiter with different degree of proliferation (22,3%) which made conservative operations.

         Conclusions. The developed algorithm for selecting the volume of surgical intervention in NFGT, taking into account the data of the conclusion of NPAB and intraoperative express-biopsy, allowed to improve the results of treatment by reducing the frequency of immediate postoperative complications from 21.2% to 2.9% and unsatisfactory results in the long-term postoperative period from 24.1% to 4.7%.