[Optimization of surgical tactics in thyroid gland nodules]

There was effectuated an analyze of results of treatment of 1006 patients with different knot lumps of thyroid gland, operated in surgical departments of the 2nd CMCH by Mandryka P.V. for the period 1990-2007. Using of organ-saving operations is caused by necessity of maximum decreasing of after-operation complications and by necessity of saving of presecretion-producing function of thyroid gland. The substantiation of operation in volume of exsection with deleting of knot in the limit of healthy tissue is the results of analyze of anatomical structure not only of knot lump, but also of tissue of thyroid gland, beds to it: devascularization with appearance of fibroid changers was marked in 69,7%, dystrophic processes with thyroadentis--in 38,8% of examinations. Analyze of repeated operations brought to light, that in pathogenesis of development of backset the main role is played by etiology and anatomical structure of knot lump, but not the volume of effectuated operation. Using of organ-saving operations and accounting of endocrinological aspects permitted to heal 89,3% of patients.