Surgical options of unilateral thyroid nodules in primary hospitals without conditions of pathological diagnosis

To investigate the reasonable and feasible approach,in surgical treatment of unilateral thyroid nodules in primary hospital without conditions of pathological diagnosis.Methods Two hundred and six patients with unilateral thyroid nodules were divided into the study group(n = 104)and the control group(n = 102). The study group was treated by ipsilateral thyroid gland lobe plus unilateral isthmus resection for thyroid nodules,the control group by ipsilateral partial thyroid resection,subtotal removal,simple excavation for thyroid nodules.Results The postoperative pathological diagnosis showed papillary thyroid carcinoma in 12 patients and no secondary surgical treatment were performed in the study group,pathological diagnosis showed papillary thyroid carcinoma in 10 patients, and then underwent secondary surgery in the control group.There was a statistical signiticant difference between groups(P 0.01).In study group brief recurrent laryngeal nerve paralysis was found in 1 patient,in the control group permanent recurrent laryngeal nerve paralysis was found in 2 patients.No postoperative respiratory difficulties and choking,laryngeal nerve damage,hypothyroidism,hypoparathyroidism,etc.were found in two groups.There was no statistical signiticant difference in post-operative complications between the two groups(P 0.05 ).In study group 12 patients with papillary thyroid carcinoma were followed up,the patient survived.Conclusion Ipsilateral thyroid glandhbe plus isthmus resection is a good and feasible surgical method for unilateral thyroid nodules in primary hospital without condition of pathological diagnosis.