在ENT和内分泌外科医生之间比较甲状腺切除技术,手术和神经监测-一项观察性研究
Khalid Al-Qahtani1, Mohammad Al Shahrani1, Faisal Al Zahrani1
1Department of Otolaryngology-Head & Neck Surgery, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
概括
头部外科医生在甲状腺手术中使用神经监测和镜片改善了副甲状腺识别,减少了声带,尽管手术时间较长.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内分泌学 在内分泌学.
- 一般外科 整体外科
背景情况:
- 甲状腺手术的结果因外科医生的专业 (ENT-HNS,ES,GS) 和技术而异.
- 外科手术模式之间存在手术时间,并发症和结果的差异.
研究的目的:
- 在甲状腺手术中比较ENT-HNS和内分泌外科医生 (ES) 之间的患者结果.
- 评估神经监测和手术镜片对副甲状腺识别,手术持续时间,声带和住院时间的影响.
主要方法:
- 在第三级中心对167次甲状腺手术进行了回顾性图表审查.
- 两个ENT-HNS和三个ES进行的手术的比较.
- 分析神经监测,手术放大镜的使用,副甲状腺的识别,手术的持续时间,声带和住院.
主要成果:
- 在100%的ENT-HNS手术中使用手术镜片,而在ES手术中使用85%.
- 神经监测在100%的ENT-HNS和0%的ES手术中使用.
- 在100%的ENT-HNS和95%的ES手术中发现了副甲状腺.
- 声带发生在0%的ENT-HNS患者中,而ES中只有2名患者.
- 平均操作时间:183.7分 (ENT-HNS) 与151分 (ES) 相比.
- 平均住院时间:3.6天 (ENT-HNS) 和5.45天 (ES).
结论:
- 神经监测和手术镜片可以提高副甲状腺的识别能力,减少声带.
- 这些工具可能会增加手术时间,但可以提高患者的安全性和甲状腺手术的结果.
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