PROGNOSTICATING THE RESULTS OF SURGICAL-T REATMENT OF DIFFUSE TOXIC GOITER (DTG)

Reduction of the incidence of postoperative hyperthyroidism (POH) is o ne of the urgent problems of DTG surgery. According to Soviet authors, it reaches 48 %. The authors take into account a complex consisting o f the patient's age, the degree of thyrotoxicosis, and the results of emergency (intraoperative) histological study. A program was elaborate d with due consideration for adequate preoperative examination, prepar ation of the patients for the operation, a standartized method with re liable determination of the mass of the thyroid residue, morphometric examination of the removed part of the thyroid, study of the late-term results and their comparison with the preoperative clinical picture. Intraoperative determination of the percentage of active zones and the presence of intrafollicular epithelium and lymphoid infiltration made it possible for the authors to reduce POH incidence from 43.5 % to 2. 8 %.