切除甲状腺往往能改善严重症状，因此，对一些继发于慢性肾功能衰竭的重症甲状旁腺机能亢进患者可考虑施行这一手术。

Parathyroidectomy often had a favourable effect on the grave symptoms. Therefore, it may be considered in some cases of severe hyperparathyroidism secondary to chronic renal failure.

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目的探讨甲状腺次全切除术中技术要点及其术后并发症的防治方法。重点讨论甲状旁腺及喉返神经的保护。

AIM to discuss the operative details in order to decrease the clinical complications after subtotal thyroidectomy, especially how to preserve parathyroid gland and recurrent laryngeal nerve.

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结论内镜下甲状腺、甲状旁腺切除手术颈部不残留手术瘢痕，提高患者的生活质量。

Conclusion By endoscopic thyroidectomy and parathyroidectomy, the patients are lightly injured without scar in the neck. The quality of life is improved.

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