【摘要】 目的 改进甲状腺次全切术的操作，减少并发症的发生率。 方法 保证病灶完整切除，保留少许上极的甲状腺组织，全程显露喉返神经，保护甲状旁腺。 结果 300例中甲亢组出现声嘶4例，结节性甲状腺肿(以上简称结甲)组出现声嘶7例，经激素、营养神经治疗，3～5个月缓解;5例手足搐者，钙剂治疗7～14天恢复。 结论 该术式灵活性强，操作简便，手术疗效确切，并发症少。

    关键词 保留上极 甲状腺次全切术

    【Abstract】 Objective To reduce and prevent the complication of subtotal thyroidectomy.Methods The up-side of the thyroid was preserved in subtotal thyroidectomy.Recurrent laryngeal nerve was exposed during the opera-tion.Thyroid gland was protected.Results Among300cases，only4cases presented hoarseness and，7cases present- ed light shiver.Conclusion This operation has feasible，good effect and less complications.

    Key words preserving upside of thyroid subtotal thyroidectomy

    甲状腺次全切术是甲状腺疾病手术最主要和最基本的一种术式 ......