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Medical Journal of Mashhad
University of Medical Sciences 57 4
Vol. 57, No. 4 P: 629-635
93629-635 :
Sep 2014

93/5/18 : 93/3/2 :

1
2
. 3
) ( TT ) (ST . 4 *

1392 -1391 104
-1
) ( MNG 1385 )(

52 . 52

.
-2
SPSS P 0/05 .


)(
45/3 74 . 8 )15/4
-3
(%

) .(p<0/05
-4
.

.



.
*

: )(

: 051-38022677 :
910093 . 051-38525255 :
E-mail: asadimh@mums.ac.ir

Evaluation of the Quality of life in patients with chronic urticaria
Received: May 23 2014- Accepted: August 9 2014
1- Amin Jahani
2- Parvin Layegh
3- Farnoosh Yari
4- Mehdi Asadi*
1- Assistant of General Surgery, Surgical
Oncology Research Center, Faculty of
Medicine, Mashhad University of
Medical Sciences, Mashhad, Iran
2- Assistant Professor of Endocrinology
and Metabolism, Endocrine Research
Center,Imam Reza Hospital, Faculty of
Medicine, Mashhad University of
Medical Sciences, Mashhad, Iran
3- Student of Medicine, Surgical
Oncology Research Center, Faculty of
Medicine, Mashhad University of
Medical Sciences, Mashhad, Iran
4- Assistant Professor of General
Surgery, Surgical Oncology Research
Center, Faculty of Medicine, Mashhad
University of Medical Sciences,
Mashhad, Iran
* Surgical Oncology Research Center,
Imam Reza Hospital, Faculty of
Medicine, Mashhad University of
Medical Sciences, Mashhad, Iran.
Tel: 051-38026677
Cell phone:051-38525255
Email: asadimh@mums.ac.ir
-630
Original Article
Abstract
Introduction: Surgery is an option for multinodular goiter (MNG), but
extension of surgery is controversial due to risk of recurrence and post
operative complications. So, we decided to compare these problems between
subtotal (ST) and total (TT) thyroidectomy as surgical treatment of MNG.
Methods: This cross-sectional retrospective study was done between 2011-
2012. 104 patients with benign MNG (52 in TT and 52 in ST groups) that
operated before year 2006 in Imam Reza Educational Hospital, were
enrolled. Rate of recurrence and surgical complications compared between
two groups. P<0.05 considered significant.
Result: Mean age of patients was 45.3 years .Mean duration of Follow up
was 74 months. 8 patients in ST group (15.4 %) and no patient in TT group
had recurrence of goiter (p<0.05). There was no significant differences in
transient and permanent hypoparathyroidism, transient and permanent
recurrent laryngeal nerve palsy, mortality, hematoma, wound infection and
hospital stay duration between two groups.
Conclusion: Total thyroidectomy as procedure of choice for multinodular
goiter is recommended in Educational Hospitals with experienced surgens.
Key words: Multinodular Goiter, Thyroidectomy, Recurrence,
Complications
Acknowledgement: This research financially supported by Research
Council of Mashhad University of Medical Sciences and this manuscript is
based on the results of thesis by Dr. Yari with approval number 910093.


93 4 57 -631

.
) (MNG

13 92-1391 .
104 MNG
1385 )( ) .(2 1


) .(3
5 . ) (Cosmetic
) .(4
.
. . MNG
.
.

)6 .(5
.

. ) .( 7 8

. ).(9
8
%1 ) .(10 % 50
%2

.
. .
Miccoli ) .(12 11
) 5
( . MNG



-632

-3 -1

P Value

3 2 5 52 52 104
5 8 13 >0/05 46/85 42/45 45/32 )(
12 7 19
32 35 67
.
.
-4

6 1 1
. SPSS P
( . 0/05 .
(62-88) 74
(64-80) 72
(62-88) 78 . 104
75 29

(p>0/05) . .
. .

. 52
(p>0/05) . ) 34 18( 52
. ) 41 11(
(7-2)2/7 . 45/32 )42/45
(6-2)2/9 46/85

-2
P Value
*NS 1 1 2
NS 0 0 0
NS 1 2 3
NS 0 0 0
<0/05 8 0 8
NS 0 0 0
NS 1 0 1
NS 0 0 0
NS (88-62) 78 (80-64) 72 (88-62) 74
NS (7-2) 2/5 ( 6-2) 2/9 (7-2) 2/7
*NS: Non Statistically significant

93 4 57 -633

. 1 (7-2) 2/5
2014
14-%4/7
% ) .(13 8) % 15/4 (p>0/05) .
52 ( . 2 .
%0/5 3-
% 10 5
. .
) (Dunhill
% 2-1 . .
:
.
.
2
2014 .
)
(Near-total (p<0/05) .
4 .





).(14
3 2008
% 50
.
.
.
C

1
Rayes
2
Cao
3
Agarwal

-634

).(15
4
. 1
Near-total

) (Reoperation
) .(19

) (Near- total
. .
Total-Near
% 2/24
) .(16 2
3
.
.

.
2
3



.

) .(18 17


.

1
Telzelman
2
Pappalardo
4 3
Osmolski Thomusch

57 4 93 -635

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