Journal of Volgograd State Medical UniversityJournal of Volgograd State Medical University1994-94801994-9499Volgograd State Medical University11938910.19163/1994-9480-2020-1(73)-106-110Research ArticleTHE NEAREST AND LONG-TERM RESULTS OF SURGICAL TREATMENT OF FOCAL PATHOLOGY OF THE THYROID GLANDSigalZ. M-SurninaO. V.uzd-ur@mail.ruBryndinV. V.-SigalO. A-FSBEI HE «Izhevsk State Medical Academy» of Public Health Ministry of the Russian FederationBIH UR «Republican Clinical Diagnostic Center of Public Health Ministry of the Udmurt Republic»BIH UR «City policlinic № 6 of Public Health Ministry of the Udmurt Republic»1501202017110611018122022Copyright © 2020, Sigal Z.M., Surnina O.V., Bryndin V.V., Sigal O.A.2020Currently, thyroid gland diseases (TG) are in second place among other diseases of the endocrine system and the need for surgical interventions is increasing. Therefore the purpose of article is the analysis of the immediate and long-term results of surgical treatment of focal pathology of a thyroid gland. To a basis of work it is provided 10 - summer experience of BIH UR «Republican Clinical Diagnostic Center of Public Health Ministry of the Udmurt Republic». For characteristic of clinical material and studying of structure of nodal thyroid diseases stories of diseases and data of histologic researches of drugs TG of 623 patients were analysed. At various formations of a thyroid gland operations were carried out on the immediate and long-term results are analysed. In good-quality and malignancies of a thyroid gland specific indicators of local pulse and not pulse optical density are found. They define effective surgical tactics, indications to different types of an operative measure, promote prevention of a recurrence and complications in the next and remote postoperative the periods. The immediate and long-term results of treatment depend on the choice of an operative measure, timely diagnostics and also on recovery treatment after operation. When using in the presurgical period of the local optosonografichesky monitoring of focal pathology of a thyroid gland of bleedings, a necrosis of fabrics, iatrogenic complications and intraoperative damages of vessels, a recurrence offered and developed by us, lethality was not.fine-needle aspiration puncture biopsythyroid gland (TG)good-quality new growthsmalignant new growthscystadenomaтонкоигольная аспирационная пункционная биопсиящитовидная железа (ЩЖ)доброкачественные новообразованиязлокачественные новообразованиякистааденома[Александров Ю.К., Семиков В.И., Кудачков Ю.А., Соколова Е. Отдаленные результаты лазерной узлового пролиферирующего коллоидного зоба // Российский медицинский журнал. - 2016. - № 22 (1). DOI 10.18821/0869-2106-2016-22-1-7-9.][Сигал З.М., Сурнина О.В. Способ пункционной биопсии поверхностных новообразований. Патент РФ на изобретение № 2652917. 03.05.18.][Сигал О.А., Сурнина О.В. Способ дифференциальной диагностики аденомы щитовидной железы и кисты без солидного компонента. Патент РФ на изобретение № 2677618. 17.01.19.][Сигал З.М., Сурнина О.В. Способ дифференциальной диагностики новообразований в щитовидной железе. Патент РФ на изобретение № 2647193. 14.03.18.][Nahm H.J., Choi S.J., Lim Y.C. Conservative thyroidectomy for papillary thyroid microcarcinoma // American Journal of Otolaryngology. - 2019. Doi:10.1016/j.amjoto.2019.03.016.][Le Q.V., Nguyen H.V., Mai N.T.K., Nguyen H.X. Surgical treatment result of giant thyroid tumor: Case series in Vietnam // International Journal of Surgery Case Reports. -2019. - № 54. - P. 103-107. Doi: 10.1016/j. ijscr.2018.11.047.][Makay O., Ozdemir M., Giles §enyurek Y., Tunca F., Duren M., Uludag M., et al. Surgical approaches for papillary microcarcinomas: Turkey's perspective // Turk. J. Surg. - 2018. - № 34. - P. 89-93.][Shulutko M., Semikov A.I., Gryaznov V.E., et al. Transoral approach to thyroid gland in the experiment // Khirurgiya. - 2017. - № 25.][Shin Y.W. Diminished quality of life and increased brain functional connectivity. Patients with hypothyroidism after total thyroidectomy // Thyroid. - 2016.]