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相关概念视频

The Thyroid Gland01:23

The Thyroid Gland

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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...
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完成甲状腺切除术:对于大量的外科医生来说,这是一个安全的选择.

Peter P Issa1, Eslam Hossam1, Jack H Cheng1

  • 1Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA.

Head & neck
|October 24, 2023
PubMed
概括

甲状腺叶切除术 (TL),全甲状腺切除术 (TT) 和完成甲状腺切除术 (cT) 的并发症风险进行了比较. 一位大批量的外科医生发现这些甲状腺切除术类型之间的并发症率没有显著差异,强调患者更喜欢量身定制的治疗.

关键词:
完成完成完成完成完成完成在安全方面,安全是安全的.甲状腺切除术是指甲状腺切除术.总的说来,它们的总量.在这个过程中,体积体积体积体积量.

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科学领域:

  • 内分泌学 在内分泌学.
  • 手术瘤学手术瘤学
  • 头部和部手术 头部和部手术

背景情况:

  • 完成甲状腺切除术 (cT) 和其他甲状腺切除术手术后并发症的比较风险仍在争论中.
  • 与全甲状腺切除术 (TT) 相比,现有研究提出了关于cT是否会增加或减少并发症风险的相互矛盾的数据.

研究的目的:

  • 为了比较甲状腺叶切除术 (TL),全甲状腺切除术 (TT) 和完成甲状腺切除术 (cT) 之间的并发症率,由单个高体积外科医生进行.
  • 在单一机构环境中评估不同甲状腺切除术方法的安全性和结果.

主要方法:

  • 进行了一项回顾性队列研究.
  • 确定并包括接受高体积外科医生TL,TT或cT的患者.
  • 在三个手术队伍中收集并分析了并发症率.

主要成果:

  • 总共分析了310名患者,整体并发症率为4.2%.
  • 对TL的并发症率为1%,对TT为7.1%,对CT为4.5% (p=0.10).
  • 过渡性低血症在TT中比TL (0%) 或cT (0.9%) (p=0.01) 更频繁 (6.1%),重复性喉神经信号损失在各组中相似 (TL:0%,TT:1%,cT:3.6%,p=0.10).

结论:

  • 尽管在不那么广泛的手术中出现的并发症减少的趋势,但在TL,TT和cT之间,在由高体积外科医生进行时,没有发现并发症率的统计学上显著差异.
  • 鉴于整体并发症率较低,患者咨询和个人偏好应指导选择适当和量身定制的外科治疗计划.