ANALYSIS OF THE SURGICAL TREATMENT' RESULTS OF THE THYROID AND PARATHYROID GLANDS DISEASES
Diseases of the thyroid gland take an important place in the structure of the pathology of endocrine system's organs. In order to determine the optimal tactics of surgical treatment for various diseases of the thyroid and parathyroid glands a retrospective analysis of the results of surgical treatment of 727 patients between 2014 and 2016 in the surgical department №. 1 of the Belgorod Regional Clinical Hospital of St. Joasaph was performed. Patients were admitted after an out-patient examination at an endocrinologist with clinical diagnoses: nodal euthyroid goiter 371 (51%), diffuse-nodal euthyroid goiter 15 (2.1%), diffuse euthyroid goiter 2 (0.3%), diffuse toxic goiter 132 (18%, 2%), diffuse-nodal toxic goiter 36 (5.0%), nodal toxic goiter 97 (13.3%), autoimmune thyroiditis 9 (1.2%), thyroid cancer 33 (4.5%), Recurrent goiter 27 (3.7%), parathyroid adenoma 5 (0.7%). In all nosological groups females have traditionally predominated. The diagnostic tests included ultrasound of the thyroid gland, T3, T4, TTG, and, if necessary, a CTT study. Further, when choosing the tactics of treatment, we adhered to the principle of maximum surgical radicalism, especially in the treatment of patients with toxic and multinodular goiter forms, since unjustified leaving the thyroid tissue can lead to the risk of recurrence of the disease. According to the results of our work, the percentage of thyroidectomies for the last 3 years (2014-2016) was 70.1%. At the same time, an increase in the percentage of radical operations did not lead to a significant increase in the share of specific complications (damage to the recurrent nerve - 1.65%, bleeding-0.4%, hypoparathyroidism-2.5%).