Trofimenko S. An origin, treatment, prophylaxis of post-operative relapse endemic goitre and post-jptrative hypothyreosis

The thesis is devoted to the problem of an origin, diagnostics, treatment of the patients with relapse endemic wen and post - operative hypothyreosis. For the solution of intended problems the clinical data of examination and the surgical treatment of 111 patients with relapse wen and 33 patients with post - operative hypothyreosis were analysed.The clinical metods of examination and modern laboratory and instrumental metods of examination the thyroid gland were used: ultrasonic examination, definition thiroid gland's gormones, TTH and titre antititric antibodies ( by radio immunological method), preoperative puncturing biopsy. The role of autoimmunological aggression and the breach of a ratio between hypophysis and thyroid gland in an origin of relapse wen, and also post - operative hypothyreosis are determined. The new methods in egineering of surgical operation on thyroid gland are developed with the purpose of prophylaxis complications, and also the metods of prophylaxis, an origin of post - ope rative hypothyreosis.