影响甲状腺切除术期间偶发性副甲状腺切除术发生率的因素
H E Arslan1, S Zeren1, A C Yildirim1
1Kutahya Health Sciences University, Turkey.
Annals of the Royal College of Surgeons of England
|March 6, 2024
概括
在甲状腺手术期间偶然的副甲状腺切除术可能导致低血. 住院外科医生表现出与经验丰富的外科医生相似的并发症率,表明安全的甲状腺切除术培训.
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:
- 手术后的低血症 (PH) 受甲状腺外伤,偶发性甲状腺切除术 (IP) 和外科医生的经验的影响.
- 了解IP的发生率及其对水平的影响对于患者的治疗结果至关重要.
- 外科医生的经验和手术量是影响IP率和随后PH的潜在因素.
研究的目的:
- 为了确定甲状腺手术期间意外侧甲状腺切除术 (IP) 的发生率.
- 评估IP对术后水平的影响.
- 调查外科医生经验和手术体积对IP发生率和PH的影响.
主要方法:
- 在2016年9月至2020年3月期间,对645名接受甲状腺手术的患者进行了回顾性研究.
- 对经验丰富的全科医生和外科住院医生 (3-5年) 进行的手术进行分析.
- 评估副甲状腺病理报告和术后水平.
主要成果:
- 在8.9%的患者中发现了正常的副甲状腺;其中8.6%是甲状腺内.
- 偶然的副甲状腺切除术发生在17.2%的病例中,与低血症 (p<0.05) 有显著的相关性.
- 经验丰富的外科医生 (8.2%) 和住院医生 (4.5%) 的PH并发症率相似,在正常副甲状腺的识别上没有显著差异.
结论:
- 在甲状腺切除术的住院培训期间的并发症率与经验丰富的外科医生相比较.
- 甲状腺切除术可以由高级住院医生安全地进行,这表明有效的培训协议.
- 偶然的副甲状腺切除术是术后低血症的重要危险因素.
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