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在肥胖患者中甲状腺切除术的结果
Valerie L Armstrong1, Alex Funkhouser2, Kelvin Memeh3
1Department of General Surgery, Mayo Clinic Arizona, Phoenix, Arizona.
The Journal of surgical research
|December 24, 2023
概括
在接受甲状腺切除术的患者中,较高的体重指数 (BMI) 与术后感染和再入院率的增加有关,特别是在病态肥胖患者中. 在BMI组中,手术室的时间仍然相似.
科学领域:
- 内分泌学 在内分泌学.
- 一般外科 整体外科
- 肥胖医学 肥胖医学
背景情况:
- 肥胖与一般外科手术中更高的并发症率有关.
- 关于肥胖对甲状腺切除术结果的影响的数据有限.
- 这项研究调查了体质指数 (BMI) 和甲状腺手术后的术后并发症之间的关系.
研究的目的:
- 为了确定增加的BMI是否与甲状腺切除术后不良的术后结果相关.
- 分析不同BMI分类的手术结果.
主要方法:
- 对465名甲状腺切除术患者 (2015-2018) 的回顾性审查.
- 根据世卫组织的定义,患者按BMI组进行分类.
- 分析手术结果,包括再入院率,感染和并发症.
主要成果:
- 增加的BMI与术后感染,肺炎和手术部位感染 (P < 0.001) 有积极的关联.
- 致病性肥胖患者 (BMI>40) 的30天再入院率较高 (6.2%对1.05%,P=0.003).
- 根据甲状腺切除术的程度 (总和甲状腺切除术) 发现结果没有显著差异.
结论:
- 甲状腺切除术在所有BMI类别中都显示出优异的术后结果.
- 致病性肥胖患者面临更高的手术后感染和30天再入院的风险.
- 手术室时间没有受到BMI的显著影响,这与之前的一些手术文献相反.
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