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甲状腺切除术与甲状腺功能障碍症患者之间的并发症:探索门诊手术的潜力
Faye G Zhang1, Thomas J Ow2,3, Juan Lin4
1Albert Einstein College of Medicine, Bronx, New York, USA.
Head & neck
|January 25, 2024
概括
甲状腺功能障碍的全甲状腺切除术可以在门诊环境中安全地进行,没有甲状腺风暴病例和低并发症率. 这表明门诊手术是治疗甲状腺功能障碍的可行选择.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 一般外科 整体外科
背景情况:
- 甲状腺功能障碍的全甲状腺切除术传统上需要在一夜之间入院进行并发症监测.
- 门诊甲状腺手术正在增长,但其在甲状腺功能过高患者中的安全性尚未得到充分研究.
研究的目的:
- 在门诊环境中评估甲状腺功能障碍的全甲状腺切除术的安全性和结果.
- 为了评估并发症的发生率,甲状腺风暴,以及在门诊全甲状腺切除术后的30天再入院.
主要方法:
- 对183名经过全甲状腺切除术 (2015-2022) 的甲状腺功能障碍患者进行了回顾性审查.
- 分析甲状腺风暴的发生率,手术并发症 (RLN麻,低血症,血瘤),急救诊所的访问和再接收.
主要成果:
- 在183名甲状腺功能障碍患者中没有观察到甲状腺风暴病例.
- 低并发症率:复发性喉神经麻 (7.0%),低血 (4.4%),血液瘤 (1.6%).
- 最小的术后资源利用率:急救室访问量为1.1%,再接收率为0%.
结论:
- 甲状腺功能障碍的全甲状腺切除术与甲状腺风暴无关,并发症率低.
- 对于甲状腺功能障碍的门诊全甲状腺切除术是一种安全有效的选择,需要进一步研究并发症的预测因素.
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