相关实验视频
Updated: Jul 23, 2025

08:06
Mixed Reality Assisted Radical Endoscopic Thyroidectomy
Published on: January 31, 2025
343
糖尿病对甲状腺切除术后的发病率和死亡率的影响
Roshan V Patel1, Avneet Randhawa1, Karandeep S Randhawa1
1Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, U.S.A.
The Laryngoscope
|July 20, 2023
概括
糖尿病显著增加了甲状腺切除术后的并发症风险,包括急性功能衰竭,伤口破坏和感染的更高率. 这些发现凸显了手术患者糖尿病管理的重要性.
科学领域:
- 内分泌学 在内分泌学.
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- 糖尿病是一种常见的慢性疾病,已知会对手术结果产生影响.
- 甲状腺切除术是一种常见的外科手术,了解患者特定的风险因素对于优化护理至关重要.
研究的目的:
- 在接受甲状腺切除术的患者中调查糖尿病和术后并发症之间的关联.
- 为了确定在甲状腺切除术后糖尿病患者中更常见的特定并发症.
主要方法:
- 使用2015-2017年美国外科医生学院国家外科质量改进计划数据库进行回顾性队列分析.
- 使用当前程序术语 (CPT) 代码识别甲状腺切除术例.
- 糖尿病患者和非糖尿病患者之间的人口统计和并发症数据的比较,随后进行后勤回归分析,以确定糖尿病对结果的独立影响.
主要成果:
- 与非糖尿病患者相比,糖尿病患者 (4.6%) 的肥胖,呼吸不全,功能状况不佳,COPD,心血管疾病和高血压的发病率较高.
- 调整后的后勤回归显示,糖尿病与急性功能衰竭,伤口破坏,长时间停留,未计划的再入院,尿路感染,器官空间手术部位感染,肺炎和整体医疗并发症的可能性显著增加.
- 有趣的是,糖尿病与表面切口手术部位感染的几率降低有关.
结论:
- 糖尿病是甲状腺切除术后一系列不良结果的重要独立风险因素.
- 这些发现强调需要对接受甲状腺切除术的糖尿病患者进行仔细的手术前评估和管理,以减轻潜在的并发症.
相关概念视频
Diabetes Mellitus: Overview and Type I Subtype
2.8K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.8K
Diabetes Mellitus: Type 2 and Gestational
2.5K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.5K
Diabetes: Symptoms, Diagnosis, and Complications
599
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
599
Functions of Thyroid Hormones
2.8K
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
2.8K
The Thyroid Gland
4.0K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
4.0K
Psychoneuroimmunology: Diabetes and Cancer
48
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
48

