在接受甲状腺切除术的患者中,术后宫血瘤的危险因素:回顾性,多中心,国际分析 (REDHOT研究)
Gian Luigi Canu1, Fabio Medas1, Federico Cappellacci1
1Department of Surgical Sciences, University of Cagliari, Monserrato, Italy.
Frontiers in surgery
|October 18, 2023
概括
甲状腺切除术后的术后宫血瘤与男性性别,年龄较大,BMI较高,部剖析,排水使用和较短的手术有关. 在手术后的前六小时内,对高危患者进行密切监测至关重要.
科学领域:
- 手术瘤学手术瘤学
- 内分泌手术 内分泌手术
- 患者安全 患者安全
背景情况:
- 手术后宫血瘤是甲状腺切除术后的一种罕见但严重的并发症.
- 鉴定这种并发症的危险因素是具有挑战性的,因为它不经常发生.
研究的目的:
- 为了确定与甲状腺切除术后手术后宫血瘤的发展相关的独立风险因素.
主要方法:
- 在七个欧洲中心 (2020-2022) 进行甲状腺切除术的8839名患者的回顾性分析.
- 使用单变量和多变量分析,将宫血瘤患者 (CH 组) 与没有 (NoCH 组) 的患者进行比较.
主要成果:
- 手术后宫血瘤的总发病率为3.15%.
- 确定的独立风险因素包括男性性别,年龄较大,BMI较高,单边侧剖,排水位置和更短的手术时间.
- 大多数需要手术修复的血瘤发生在手术后6小时内.
结论:
- 患有已确定的风险因素的患者需要密切的术后监测,特别是在前六小时内.
- 应考虑将这些风险因素的患者排除在门诊甲状腺切除手术之外.
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