CHILDREN'S THYROID SURGERY: THE ANALYSIS OF RESULTS OF SURGERIES AND DISCUSSION OF THE MODERN CONCEPT
The analysis of surgical treatment of 243 children concerning nodal lesions of a thyroid gland and toxic forms of a struma is carried out. 161 child with a nodal colloidal proliferating struma and 87 children with various forms of a cancer have been operated. In the last group 93% of patients have been made organ saving type of surgeries. The ultrasonic investigation complex, допплеровского the analysis of a thyroid blood flow and aspiration biopsy of thyroid gland under ultrasound-control allows to define the exact diagnosis and to carry out situation monitoring in diagnostically difficult cases. Timely diagnostics of nodal lesions of a thyroid gland and a correct choice of tactics allow operating patients on early time. Necessity of system of the children's endocrinology, including an outpatient part, is emphasized.