title: [Surgical treatment of hyperthyroidism].
abstract: OBJECTIVE
  In order to explore the management of peri-operation and the therapeutic effect in the surgical treatment of hyperthyroidism.
  
  
  METHODS
  Fifty five cases of hyperthyroidism were undergone near-total thyroidectomy, during the operation recurrent laryngeal nerve was exposed, and the parathyroid was found with microscope when necessary. The third rank of inferior thyroid arteries were ligated to guarantee the blood supply for parathyroid.
  
  
  RESULTS
  All cases underwent near-total thyroidectomy. There was no mortality, and no permanent recurrent laryngeal nerve palsy occurred, and no permanent hypoparathyroidism, and no recurrent hyperthyroidism. Follow-up was carried out 16 months to approximately 5 years after near-total thyroidectomy patients, Hypothyroidism occurred in 15 cases (57.7%), serum calcium levels were 2.15-2.45 mmol/L.
  
  
  CONCLUSIONS
  Special attention should be given to the management of peri-operation, the above the method can prevent operative complication in the surgical treatment of hyperthyroidism, with excellent result.
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China. yly_ent@163.com
authors.forename: Li-ying
authors.initials: LY
authors.lastname: Yan
authors.forename: Sui-qin
authors.initials: SQ
authors.lastname: Li
authors.forename: Bing-yin
authors.initials: BY
authors.lastname: Shi
authors.forename: Shao-qiang
authors.initials: SQ
authors.lastname: Zhang
authors.forename: Yan-xia
authors.initials: YX
authors.lastname: Bai
authors.forename: Fang
authors.initials: F
authors.lastname: Quan
authors.forename: Lin-gu
authors.initials: LG
authors.lastname: Wang
authors.forename: Wen-xuan
authors.initials: WX
authors.lastname: He
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007011:Hypoparathyroidism / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013965:Thyroidectomy / Q000009:adverse effects / Q000379:methods*; D055815:Young Adult